外科术后院内感染84例临床分析  

Analyze 84 cases of postoperative nosocomial infections in the surgery department

作　　者：李冬祎[1] 陈颖[2] 毕铭华[2] 杨立沛[1] 刘凤奎[1] 孟洁[3] 

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京100050 [2]首都医科大学附属北京友谊医院综合科,北京100050 [3]首都医科大学附属北京友谊医院病案科,北京100050

出　　处：《国际外科学杂志》2010年第2期90-93,共4页International Journal of Surgery

基　　金：北京市卫生局青年科学研究资助项目（No.QN2009-005）

摘　　要：目的加深对外科术后院内感染临床特征及病原学特点的了解，强化医务人员预防与控制术后院内感染的意识。方法对2007年1月～2008年12月间，首都医科大学附属北京友谊医院外科系统手术后发生的84例院内感染临床病例进行统计及分析。结果我院外科系统院内感染高发科室依次为普外科，泌尿外科及脑外科；院内感染高发部位以呼吸系统感染为主；院内感染相关因素出现例次比前三位的依次为侵入性操作，术中使用全麻，住院总时间大于1个月；病原体以革兰阴性杆菌为主占49．58％，而革兰阳性球菌占35．77％，真菌占14．63％。结论医务人员应提高预防与控制术后院内感染的意识，采取综合性的防范措施，降低外科术后院内感染的发生。Objective To deepen the understandirg of the clinical and etiological features of postoperative nosocomial infections （ NI ） in the surgery department. Methods Eighty-four cases of postoperative NI in the surgery department of our hospital during 2007-2008 were analyzed. Results Of the 84 cases investiga- ted,in our hospital,the department of general surgery and urinary surgery and neurosurgery showed a high incidence of NI ; the respiratory infection accounted for the majority of all the NI cases. Invasive work and intra- operative general anesthesia and the admission time more than one month were the most common reasons for NI;infection rate of G- bacilli was 49. 58% , G＋ coccobacteria was 35.77% , fungus was 14. 63%. Conclusion To upgrade the medical staffs＇ understanding on how to prevent and control postoperative NI in the surgery department, and to reduce the rate of postoperative NI in the surgery department by taking all-around methods are necessary.

关 键 词：术后 院内感染 临床分析 

分 类 号：R446.5[医药卫生—诊断学]