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目的:探究产科围术期医院感染的危险因素,提出预防干预建议。方法:组成产科围术期危险因素调查小组,对2014年工作进行回顾总结,统计产科围术期医院感染发生率,寻找危险因素,并针对危险因素制定预防干预对策,自2015年1月起实施。比较实施前后医院感染的发生率。结果:住院时间、合并慢性病、泌尿道插管、动静脉插管、气管插管、腹腔引流是导致医院感染发生的独立危险因素;2014年产科围术期发生医院感染46例,感染率1.01%,2015年发生医院感染11例,感染率为0.27%(P<0.05)。结论:前瞻性调查产科围术期医院感染相关危险因素,能够为之后的预防干预措施制定提供参考依据,有效降低围术期医院感染的发生率,提高整体护理质量。
Objective: To explore the risk factors of obstetric perioperative nosocomial infection and to propose preventive interventions. Methods: To compose a survey team of obstetric perioperative risk factors, review the work in 2014, count the incidence of nosocomial infections in obstetrics and gynecology, find out the risk factors and make preventive interventions for risk factors, which will be implemented from January 2015 . Compare the incidence of hospital infection before and after the implementation. Results: Hospitalization time, chronic diseases, urinary catheterization, arteriovenous intubation, endotracheal intubation and peritoneal drainage were the independent risk factors of nosocomial infection. In 2014, 46 cases of nosocomial infection occurred in obstetric perioperative period, the infection rate was 1.01% In 2015, 11 cases of nosocomial infection occurred and the infection rate was 0.27% (P <0.05). Conclusion: Prospective investigation of obstetric perioperative nosocomial infection risk factors can provide a reference for the formulation of preventive interventions, which can effectively reduce the incidence of perioperative nosocomial infections and improve the overall quality of care.