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目的:对妇产科病患出现医院感染的危险性要素加以分析,并提出有效的控制策略,进而为控制医院感染提供科学的临床依据。方法:选取我院2010年8月至2013年8月间收治的3000例妇产科行手术治疗的病患加以回顾性分析,据此对妇产科病患医院感染的危险性因素开展系统研究,提出相应的控制方案。结果:3000例行妇产科手术的病患中,出现医院感染的120例,感染率是4.0%。其中,妇科出现医院感染76例,感染率2.5%,产科出现医院感染的44例,感染率为1.5%;最普遍的感染位置是呼吸道,其余依次为:泌尿系统、胃肠道、手术创口及宫腔,妇产科病患出现医院感染的危险因素主要包括年龄、并发疾病、侵入性操作、住院时长。结论:营造规范一流的无菌操作环境,做好健康宣传教育,实现消毒隔离工作,强化病房的管理,有条不紊地采取多种对策,使医院感染率得以有效地控制,提高病患的生活质量。
OBJECTIVE: To analyze the risk factors of nosocomial infections in obstetrics and gynecology patients and to propose effective control strategies to provide a scientific basis for the control of nosocomial infections. Methods: A retrospective analysis was performed on 3000 patients with obstetrics and gynecology admitted to our hospital between August 2010 and August 2013. Based on this, we systematically studied the risk factors of nosocomial infections in obstetrics and gynecology patients , Put forward the corresponding control plan. Results: Among the 3 000 obstetrics and gynecology patients, 120 cases of nosocomial infection occurred and the infection rate was 4.0%. Among them, gynecological hospital infection occurred in 76 cases, the infection rate of 2.5%, obstetric hospital nosocomial infection in 44 cases, the infection rate was 1.5%; the most common location of infection is the respiratory tract, followed by: urinary system, gastrointestinal tract, surgical wounds and Uterine cavity, obstetrics and gynecology patients with nosocomial infections risk factors include age, concurrent disease, invasive procedures, length of stay. Conclusion: To create a first-class aseptic operating environment, improve publicity and education on health, achieve disinfection and isolation work, and strengthen the management of wards, and take various measures in an orderly manner so that the hospital infection rate can be effectively controlled and the quality of life of the patients improved.