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目的探讨门诊输液室医院感染的影响因素,并分析预防措施,以降低门诊输液室医院感染发生率,保证患者及医务人员生命健康。方法选取我院门诊输液室2009年10月~2011年10月收治的192例患者及17名医务人员,探讨其医院感染发生率及影响因素。结果 192例患者中,35例出现医院感染,感染率18.2%,17名医务人员中1名出现医院感染,感染率5.9%,多因素回归分析发现,门诊输液室布局不合理、环境卫生消毒差、静脉穿刺操作、医用物品管理不严格、废物处理方法不当及患者年龄较小为独立危险因素(P<0.05)。结论上述项目是导致门诊输液室成为医院感染的高危科室的主要因素,给患者及医务人员的生命健康带来了较大威胁,应强化医务人员预防感染意识、改善门诊输液室环境并加强自我防护意识,从而降低门诊输液室医院感染率,避免医患纠纷的发生。
Objective To explore the influencing factors of nosocomial infection in outpatient infusion room and to analyze preventive measures to reduce the incidence of nosocomial infection in outpatient infusion room so as to ensure the life and health of patients and medical staff. Methods A total of 192 patients and 17 medical staff admitted to our hospital outpatient infusion room from October 2009 to October 2011 were selected to investigate the prevalence and influencing factors of nosocomial infection. Results Of the 192 patients, 35 were hospital-acquired and the infection rate was 18.2%. One of 17 medical staff was hospital-acquired and the infection rate was 5.9%. Multivariate regression analysis showed that the outpatient infusion room layout was unreasonable and the sanitation and disinfection was poor , Venipuncture operation, medical material management is not strict, improper waste disposal methods and patients age are independent risk factors (P <0.05). Conclusion The above-mentioned items are the main factors leading to outpatient infusion room becoming a high-risk department of hospital infection, which poses a great threat to the life and health of patients and medical staff. It is necessary to strengthen medical staff awareness of infection prevention, improve outpatient infusion room environment and strengthen self-protection Awareness, thereby reducing the outpatient infusion room hospital infection rate, to avoid doctor-patient disputes.