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做为公共卫生事业的组成部分,目前医院感染控制工作在我国受到广泛的重视,已经成为提高医疗质量,保障医疗安全的重要课题。据大庆市第二医院感染料监测资料显示,1995～1997年结核科住院病人年医院感染患病率平均为6.17％。其中呼吸道和泌尿道感染占绝大部分。分析其原因主要与以下因素有关:①肺结核病人自身免疫功能低下、体内微生态环境失调;②长期慢性消耗、致营养不良和内分泌系统紊乱;③糖尿病、支气管扩张、慢性支气管炎、肺气肿、咯血等并发症存在;④临床操作诸如肌注、静点,各种操作不能严格执行无菌操作技术;⑤抗菌素的不合理应用;⑥肺结核病人住院时间长,尤其是重症肺结核病人室内通气不良,病人基础护理不严密等。
As an integral part of public health, the current hospital infection control in our country has received widespread attention, has become an important issue to improve the quality of medical care, medical security. According to the Daqing Second Hospital infectious material monitoring data show that from 1995 to 1997 tuberculosis inpatient hospital infection prevalence average of 6.17%. Respiratory and urinary tract infections account for the vast majority. Analysis of the main reasons for the following factors: ① tuberculosis patients with low autoimmune function, the body micro-ecological environment disorders; ② chronic long-term consumption, resulting in malnutrition and endocrine disorders; ③ diabetes, bronchiectasis, chronic bronchitis, emphysema, Hemoptysis and other complications exist; ④ clinical operations such as intramuscular injection, static point, a variety of operations can not strictly enforce aseptic technique; ⑤ irrational use of antibiotics; ⑥ tuberculosis patients hospitalized for a long time, especially in patients with severe pulmonary tuberculosis, Patient care is not tight and so on.