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目的研究推行临床路径对医院感染防控工作的影响。方法统计开展临床路径工作2010年3月-2011年12月(22个月)的临床路径病例8928例,2012年1月-2013年10月(22个月)的临床路径病例6775例作为实验组,回顾性选取未实施临床路径的2008年5月-2010年2月(22个月)临床路径病例5223例为对照,对临床路径前后医院感染发生率进行了比较。采用卡方检验进行组间医院感染发生率的比较,医院感染发生率变化趋势研究采用趋势卡方检验。结果开展临床路径工作后,由于医院感染的防控措施得以标准化实施,与开展临床路径之前相比较,医院感染发生率从0.62%降至0.29%,通过趋势研究以及结合医院感染发生率实际监测结果,认为随着临床路径工作的推进,入径患者逐渐增加,医院感染发病例数减少,入径患者的医院感染发生率有下降趋势。结论临床路径的应用,促进了医院感染防控措施的规范化实施,提高了稀缺的医疗资源的利用效率,且入径患者的医院感染发病率有下降趋势。临床路径是医院感染管理者和临床紧密结合的切入点,对于全面提升医院感染管理水平具有重要的现实意义。
Objective To study the impact of clinical pathway on hospital infection prevention and control. Methods Statistical Methods for Clinical Pathway Clinical pathology from March 2010 to December 2011 (22 months) 8928 clinical trails from January 2012 to October 2013 (22 months) 6775 cases were included as experimental group , 5223 cases of clinical pathways from May 2008 to February 2010 (22 months) without clinical pathology were retrospectively selected as the control, and the prevalence of nosocomial infections before and after the clinical pathway was compared. The incidence of nosocomial infections was compared between groups by chi-square test. The trend of nosocomial infections was analyzed by trend chi-square test. Results After clinical path work was carried out, the nosocomial infection prevention and control measures were standardized and compared with those before clinical trails. The incidence of nosocomial infections was reduced from 0.62% to 0.29%. Through the trend study and the actual monitoring results in combination with the incidence of nosocomial infections , That with the advancing of clinical path work, patients admitted gradually increased, the incidence of nosocomial infections decreased, the incidence of nosocomial infections in patients with a downward trend. Conclusion The application of clinical pathway has promoted the standardized implementation of prevention and control measures for nosocomial infections and improved the utilization efficiency of scarce medical resources. The incidence of nosocomial infections in patients with nosocomial infections has been on the decline. Clinical pathway is the entry point for hospital infection managers and clinical closely, which has important practical significance for improving the level of nosocomial infection management.