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目的预防骨科手术患者医院感染发生,降低其感染率。方法调查2006年1月-2010年12月骨科手术患者1198例,对其医院感染临床资料进行统计分析。结果 1198例骨科手术患者中共发生医院感染19例,感染率为1.59%;>71岁年龄组发生医院感染率最高为8.77%;发生感染部位以呼吸道感染最多占42.11%,其次为泌尿系及胃肠道,分别占15.79%及10.53%;女性医院感染率为2.22%,男性为1.31%。结论呼吸道感染与患者年龄、原发病的轻重、医疗因素有密切关系,胃肠道感染与饮食卫生、个人卫生有密切的关系,加强感染知识学习、加强原发病的治疗及基础护理、掌握侵入性操作的适应证、严格无菌操作加强病室管理、合理使用抗菌药物是预防医院感染的关键。
Objective To prevent the occurrence of nosocomial infections in orthopedic surgery patients and reduce their infection rate. Methods A total of 1198 orthopedic patients from January 2006 to December 2010 were enrolled in this study. The clinical data of nosocomial infections were analyzed statistically. Results Of the 1198 orthopedic patients, 19 were hospital-acquired nosocomial infections with an infection rate of 1.59%. The highest nosocomial infection rate was 8.77% in the patients aged> 71 years and 42.11% in the infected patients with respiratory infections, followed by the urinary and gastric Intestinal tract, accounting for 15.79% and 10.53% respectively; women’s hospital infection rate was 2.22% and men’s was 1.31%. Conclusions Respiratory tract infection is closely related to patient’s age, severity of primary disease and medical factors. Gastrointestinal tract infection has close relationship with diet and hygiene and personal hygiene, and strengthens knowledge of infection, strengthens the treatment of primary disease and basic nursing, masters Invasive indications of operation, strict aseptic operation to strengthen ward management, rational use of antimicrobial drugs is the key to preventing nosocomial infections.