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目的对妇产科住院患者合并医院感染相关特征进行分析,并找到措施进行预防。方法使用临床前瞻性调查和流行病学回顾性调查方法对3970例患者医院感染几率、感染部位、病原菌检查和易感因素进行分析。结果在3970例患者中,出现医院感染158例(3.98%);其中65例出现呼吸道感染、42例出现手术切口感染、33例出现泌尿系统感染、18例出现其他感染;129例患者进行病原菌检查,检查出88株(68.22%)病原菌,其中有47株革兰阳性球菌、31株革兰阴性杆菌、10株真菌;患者年龄较大、侵入性操作、其他疾病以及住院时间较长是导致感染出现的主要因素。结论严格遵循医院感染管理,切实做好预防性措施,控制侵入性操作,减少剖宫产率;根据需要使用抗菌药物,从而降低医院感染出现的几率。
Objective To analyze the characteristics of nosocomial infection in obstetrics and gynecology inpatients and to find measures to prevent it. Methods Clinical prospective survey and epidemiological retrospective survey were used to analyze the prevalence of nosocomial infection, the location of infection, pathogen detection and susceptibility in 3970 patients. Results Among 3970 patients, 158 cases (3.98%) had nosocomial infection. Among them, 65 cases had respiratory tract infection, 42 cases had surgical incision infection, 33 cases had urinary system infection and 18 cases had other infections. 129 patients were pathologically tested 88 (68.22%) pathogenic bacteria were detected, of which 47 were Gram-positive cocci, 31 Gram-negative bacilli and 10 were fungi. The older patients, invasive procedures, other diseases and longer hospital stay were the main causes of infection The main factors that appear. Conclusions Strict adherence to nosocomial infection management, effective precautionary measures, control of invasive operations, reduce cesarean section rate; use of antimicrobial agents as needed, thereby reducing the risk of nosocomial infections.