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目的调查医院感染患者的平均住院天数,分析影响因素,提出有效控制医院感染缩短平均住院日的办法。方法对2008年1月-2010年12月脑外科发生医院感染患者与对照组进行比较;分析医院感染因素及对策。结果医院感染可明显延长患者住院天数,68例医院感染患者平均住院天数为30.4d,高于相同诊断、相近年龄、同期住院的对照组(10.58d),差异有统计学意义(P<0.01);手术部位感染、呼吸系统感染、导管相关性血流感染、泌尿系统感染是主要原因,其中手术部位感染最多,占66.2%;由于标本送检率、检出率低,使抗感染药物的经验应用不能被及时纠正,制约平均住院日的改善。结论医院感染极大影响平均住院日,应提高医务人员素质、规范医疗行为、重视医院感染监测,从而控制医院感染。
Objective To investigate the average hospitalization days of patients with nosocomial infections, analyze the influencing factors and propose ways to effectively control nosocomial infections and shorten the average length of stay. Methods From January 2008 to December 2010, patients with nosocomial infection in the brain surgery department were compared with those in the control group. Factors and strategies of nosocomial infection were analyzed. Results The nosocomial infection significantly prolonged the hospitalization days. The average length of stay in 68 patients with nosocomial infection was 30.4 days, which was significantly higher than that of the control group (10.58 days) with the same diagnosis, similar age and hospitalization in the same period (P <0.01) ; Surgical site infection, respiratory system infection, catheter-related bloodstream infection, urinary tract infection is the main reason, of which the most surgical site infection, accounting for 66.2%; due to the specimen delivery rate, the detection rate is low, the anti-infective experience Application can not be promptly corrected, restricting the average hospital stay improvement. Conclusion Hospital infection has a great impact on the average length of stay, should improve the quality of medical staff, regulate medical behavior, monitoring of hospital infection, and thus control hospital infection.