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目的分析心导管室医院感染的危险因素,探讨医院感染的预防措施。方法分析我院近5年来心脏介入手术后发生医院内感染的12例患者的临床资料,分析心导管室人员运动流线、工作流程、隔离消毒、卫生监测等各个环节,探讨心脏介入术后医院内感染发生的的危险因素,提出预防措施。结果我院心脏介入术后医院感染总体发生率为0.06%。心导管室发生医院感染的危险因素主要有通风换气不良、空气消毒时间不足、平面布局及人员流动线路不合理、工作流程不完善,患者基础病变及机体免疫情况等。结论严格按要求规划导管室建设,严格执行无菌操作规程,严格遵守消毒隔离措施,合理限制人流避免交叉污染是预防心导管室医院内感染的有效措施。
Objective To analyze the risk factors of nosocomial infection in cardiac catheterization and to explore the preventive measures for nosocomial infection. Methods The clinical data of 12 patients with nosocomial infections after cardiac interventional surgery in our hospital in recent 5 years were analyzed. The flow of heart catheterization staff, workflow, isolation and disinfection, health monitoring and other links were analyzed. Risk factors for the occurrence of internal infection, proposing preventive measures. Results The overall incidence of nosocomial infections after cardiac intervention in our hospital was 0.06%. Risk factors for nosocomial cardiac catheterization include ventilatory insufficiency, inadequate air disinfection time, inadequate layout of the plane and unreasonable flow of personnel, inadequate workflow, patient-based disease and immune status. Conclusion It is an effective measure to prevent the catheterization in the catheterization room by planning the construction of the catheter room in strict accordance with the requirements, strictly implementing the aseptic operating procedures, strictly observing the disinfection and isolation measures, reasonably restricting the flow of people and avoiding the cross-contamination.