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目的:分析产科的医院感染临床特点及相关因素,为制定预防与控制产科医院感染措施提供依据。方法:选取2011~2015年收治的产科临床资料11293份,数据采用SPSS 17.0软件进行处理。结果:11293例产妇中,发生医院感染272例,医院感染发生率2.41%;感染率较高的感染部位依次为呼吸道、泌尿道及胃肠道,分别占33.92%、29.33%、10.25%;分离到病原菌247株,其中革兰阴性菌132株、占53.44%,革兰阳性菌72株、占29.15%,真菌43株、占17.41%;单因素检验显示侵入性操作、住院时间、病房床位数、基础疾病等均与医院感染的发生相关联。结论:预防产科医院感染,应重视缩短产妇住院时间、治疗基础疾病、减少侵入性操作等相关因素的管理。
Objective: To analyze the clinical characteristics and related factors of obstetric nosocomial infection and provide the basis for the prevention and control of obstetric nosocomial infection. Methods: A total of 11,293 obstetric clinical data were collected from 2011 to 2015. The data were processed by SPSS 17.0 software. Results: Among 11293 mothers, nosocomial infection occurred in 272 cases and hospital infection rate was 2.41%. Infection with higher infection rates were respiratory tract, urinary tract and gastrointestinal tract, accounting for 33.92%, 29.33% and 10.25%, respectively There were 247 pathogenic bacteria including 132 strains of Gram-negative bacteria, accounting for 53.44%, 72 strains of Gram-positive bacteria accounting for 29.15% and 43 strains of fungi accounting for 17.41%. The single factor test showed that invasive operation, hospital stay, , Basic diseases are associated with the occurrence of nosocomial infections. Conclusion: Prevention of obstetric hospital infection should pay attention to shorten the maternal hospitalization time, the treatment of underlying diseases, reduce invasive management and other related factors management.