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目的:对检验科医院感染的原因进行分析,归纳并总结有效的管理对策,以降低医院感染的发生率。方法:针对近5年来我院检验科医院感染危险因素、存在问题进行回顾性分析,总制定相应的处理措施,并对比对策实施前后医院感染的发生情况。结果:(1)医院感染的危险因素主要包括:检验工作流程不规范、环境布置不合理、检验员经验缺乏、检验员自我保护意识缺乏以及医疗垃圾处理不当。(2)在相关对策实施后,我院检验科医院感染的发生率由35%(7人次)下降到10%(2人次),前后差异明显,具有统计学意义,P<0.05。结论:检验科管理人员要高度重视医院感染,及时总结其风险因素并制定相应的对策,同时加强工作人员的预防知识与安全意识,定期维护消毒设备,优化工作环境,从根本上控制医院感染的发生。
OBJECTIVE: To analyze the causes of hospital infection in clinical laboratory and summarize and manage effective management strategies to reduce the incidence of nosocomial infection. Methods: According to the retrospective analysis of the risk factors and the existing problems of hospital infection in our hospital in the past 5 years, we made the corresponding treatment measures and compared the incidence of hospital infection before and after the implementation of the strategy. Results: (1) The risk factors of nosocomial infection mainly include non-standard test workflow, unreasonable environmental arrangement, lack of experience of inspectors, lack of consciousness of self-protection of inspectors and improper disposal of medical waste. (2) After the implementation of relevant countermeasures, the incidence of infection in the laboratory of our hospital decreased from 35% (7 persons) to 10% (2 persons), with significant difference between before and after treatment (P <0.05). Conclusion: Laboratory managers should attach great importance to nosocomial infections, summarize their risk factors and formulate corresponding countermeasures in a timely manner. At the same time, they should strengthen staff awareness of prevention and safety, regularly maintain disinfection equipment, optimize working environment and fundamentally control nosocomial infection occur.