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目的:分析呼吸科医院感染现状,提高呼吸科医院感染的防护能力。方法:对医院呼吸科住院部2015年12月~2016年12月收治的1288例患者进行观察,记录医院感染发生率和相关危险因素,总结有效的预防措施。结果:1288例患者中有56例出现医院感染,其中肺部感染42例,革兰阴性菌感染35例;侵入性操作、抗菌药物使用过多、高龄、住院时间>10d、基础疾病众多是引起呼吸科患者医院感染的相关因素。通过合理使用抗生素、加强医院管理、医院感染防控宣传教育、严格无菌操作等方法可以降低呼吸科医院感染率。结论:呼吸科患者医院感染率高,主要表现为肺部感染,规范技术操作、加强护理安全管理,严格无菌操作等措施可以降低医院感染发生率,改善患者预后。
Objective: To analyze the status quo of respiratory hospital infection and improve the protective ability of respiratory hospital infection. Methods: 1288 patients admitted to Department of Respiratory Department of Respiratory Department from December 2015 to December 2016 were observed, the incidence of nosocomial infection and related risk factors were recorded, and effective preventive measures were summarized. Results: Among 1288 patients, 56 cases had nosocomial infection, of which 42 cases were pulmonary infection and 35 cases were gram-negative bacteria. Invaded operation, excessive use of antibacterial drugs, advanced age and hospitalization> 10 days, many underlying diseases were caused Related Factors of Nosocomial Infection in Respiratory Patients. Through rational use of antibiotics, strengthening hospital management, hospital infection prevention and control publicity and education, strict aseptic technique and other methods can reduce the respiratory hospital infection rate. Conclusion: The prevalence of nosocomial infections in patients with respiratory diseases is high, mainly manifested as pulmonary infection, standardized technical operation, intensive care and safety management, strict aseptic operation and other measures can reduce the incidence of nosocomial infections and improve the prognosis of patients.