摘要
目的探讨骨科医院感染重点人群及监控护理措施,以降低医院感染率。方法对2006-2010年8341例出院患者及其中106例医院感染病例作回顾性分析,依据感染部位构成比和易感因素归纳出重点人群,制定监控护理措施并应用于2011年前瞻性监控工作中,比较2010年前后医院感染率。结果回顾年医院感染部位构成比前3位为下呼吸道感染36.3%、皮肤软组织感染27.4%、泌尿道感染18.5%;医院感染独立易感因素为年龄≥65岁、卧床时间≥30d、住院时间≥40d、留置尿管时间≥8d;回顾年科室感染率1.27%、例次感染率1.36%;2011年科室感染率0.65%、例次感染率0.65%,前后差异均有统计学意义(P<0.05);4例有明显社区感染患者全部治愈,未造成多药耐药菌传播扩散。结论实施相关护理措施对降低医院感染率有效,分别对已感染病例和未感染病例作分析总结,从中获得努力的方向和重点,是推动医院感染工作进步行之有效的方法。
OBJECTIVE To discuss the key population with the nosocomial infections in the orthopedist hospital and explore the nursing interventions so as to reduce the incidence of nosocomial infections. METHODS A total of 8341 patients who discharged the hospital from 2006 to 2010 were enrolled in the study, and 106 cases with the nosocomial infections were retrospectively analyzed, the key populations were determined through the analysis of the constituent ratios of the infection sites and the susceptible factors, the monitoring and nursing interventions were formulated and applied in the prospective monitoring of 2011, then the incidence of nosocomial infections was compared with 2011. RESULTS The top three infections sites were in turn as follows：the lower respiratory tract （36.3%）, skin and soft tissue （27.4%）, and urinary tract （18.5%）. The more than 65 years of age, bedridden time more than 30 days, hospital stay more than 40 days, and catheter indwelling time more than 8 days were the independent risk factors of the nosocomial infections . The incidence rate of nosocomial infections was 1.27 %, the case-time infection rate was 1.36%; the incidence rate of nosocomial infections was 0. 65%, and the case-time infection rate was 0.65%, the difference was significant（P〈0.05）; all the 4 cases with the community-acquired infections were cured, and the spread of the multi-drug resistance was prevented. CONCLUSION The relevant nursing interventions can contribute to the decrease of incidence of nosocomial infections, the cases with infections and the cases without infections are analyzed and summarized to acquire the right direction so as to prevent the nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第15期3659-3660,3663,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
骨科
重点人群
护理措施
Nosocomial infection
Orthopedics department
Key population
Nursing intervention
