摘要
目的分析精神科病房医院感染现状,探讨其防范措施。方法回顾性分析2013年1月-2015年12月医院精神科病房住院治疗2 071例患者的临床病例资料,记录和分析患者临床资料、所住病区、住院天数,参照医院感染病例登记卡内容分析符合医院感染诊断标准的患者病例资料。结果 2 071例精神科病房住院患者感染发生率为4.10%。女性患者发生医院感染的概率比男性患者高;开放病区内患者发生概率相对低于封闭病房内患者;住院时间<30d患者发生率比住院时间≥30d患者高,上述之间比较差异有统计学意义(P<0.05)。医院感染患者其感染部位主要为呼吸道感染、胃肠道感染以及泌尿系统感染;医院感染发生时间以2~4月份为主;85例患者共分离出122株病原菌,其中以革兰阴性菌为主,占62.3%。结论精神科病房内医院感染依旧不容乐观,精神科医院感染的有关管理工作难度较大,针对精神科病房医院感染发生的原因采取防控措施有助于减少医院内感染的发生。
OBJECTIVE To investigate the current status of nosocomial infections in wards of psychiatry department and put forward the countermeasures.METHODS The clinical data were collected from 2 071 patients who were hospitalized the wards of psychiatry department from Jan 2013 to Dec 2015 and were retrospectively analyzed.The clinical data,wards,and length of hospital stay were recorded and analyzed,and the medical records that conformed to the diagnostic criteria for nosocomial infections were analyzed by referring to content of registration card for the nosocomial infection cases.RESULTS The incidence rate of the infections was 4.10%in the 2 071 hospitalized patients of wards of psychiatry department.The probability of nosocomial iinfections was higher in the female patients than in the male patients;the probability of nosocomial infections was lower in the patients of open wards than in the patients of closed wards;the incidence rate of nosocomial infections was higher in the patients with length of hospital stay less than 30 days than in the patients with the length of hospital stay more than 30 days,and there was significant difference（P〈0.05）.The respiratory tract,gastrointestinal tract,and urinary tract were the major infection sites.The nosocomial infections mainly occurred in February-April.A total of 122 strains of pathogens were isolated from 85 patients,among which gram-negative bacteria were dominant,accounting for62.3%.CONCLUSIONThe situation of control of the nosocomial infections is still not optimistic in the wards of psychiatry department,the management relating to the nosocomial infections is so difficult that the prevention measures should be taken aiming at the causes of the nosocomial infections so as to reduce the incidence of the nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第6期1420-1423,共4页
Chinese Journal of Nosocomiology
基金
杭州市卫生局重点基金资助项目(2014Z04)
关键词
精神科病房
医院感染
现状分析
防范措施
Ward of psychiatry department
Nosocomial infection
Current situation analysis
Prevention measure
