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目的了解医院耳鼻咽喉科手术患者医院感染发病情况及危险因素,提出防控策略。方法采用回顾性调查方法,对某医院耳鼻咽喉科2013-2014年期间手术患者医院感染发生率及其危险因素进行分析。结果共评估耳鼻咽喉科手术患者3 884例,发生医院感染128例、136例次,医院感染率为3.29%、例次感染率为3.5%。感染以喉癌手术患者为主,占59.4%,其次是行耳乳突根治术和鼻内窥镜术患者,占29.8%。感染部位以呼吸道居首,为65.4%。结论耳鼻咽喉科术后医院感染率高于医院平均水平,医院感染主要发生在喉癌手术及耳鼻手术中,需针对性采取防控措施。
Objective To understand the prevalence and risk factors of nosocomial infection in otolaryngology patients in hospital and put forward the prevention and control strategies. Methods A retrospective survey was conducted to analyze the prevalence and risk factors of nosocomial infections in surgical patients during otolaryngology from 2013 to 2014 in a hospital. Results A total of 3 884 cases of otolaryngology were evaluated. Among them, 128 cases were hospital infection, 136 cases were hospitalized, the hospital infection rate was 3.29%, and the infection rate was 3.5%. Infections were mainly laryngeal cancer patients, accounting for 59.4%, followed by radical mastoidectomy and endoscopic sinus surgery, accounting for 29.8%. Infected parts of the respiratory tract topped 65.4%. Conclusions The prevalence of nosocomial infections after otolaryngology is higher than the average hospital level. Nosocomial infections mainly occur in laryngeal cancer surgery and otolaryngology. Precautionary measures should be taken.