186例骨科住院患者医院感染现患率调查与分析  

Prevalence rates of nosocomial infections in 168 inpatients in orthopedics department

作　　者：王佳[1] 黄荔红[1] 吴德花[1] 

机构地区：[1]南京军区福州总医院第一附属医院感控科,福建莆田351100

出　　处：《中华医院感染学杂志》2011年第19期4019-4021,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解骨科3个病区医院感染现患率,调查骨科医院感染中存在问题,找到预防和控制感染有效方法。方法采用床旁调查和病历调查相结合,统计分析处于医院感染状态的病例。结果实查住院患者186例,实查率100.0%,医院感染现患率6.5%,例次现患率7.0%;手术切口是医院感染的主要部位;外伤和营养不良是医院感染的主要危险因素,抗菌药物使用率为38.7%。结论骨科3个病区医院感染现患率调查人员经严格培训,结果较为可靠;需加强对外伤患者、营养不良患者和日常高危因素监测,加强对严重外伤患者伤口的处理和环境管理,严格无菌技术操作,控制医院感染发生。OBJECTIVE To know the hospital prevalence rate,discover the existing problems,analyze the main influence factors,and find out the effective ways to prevent and control infection.METHODS By the combination of clinic and patients history survey,the cases with hospital infection were calculated and analyzed.RESULTS A total of 168 inpatients were actually investigated,the actual survey rate was 100.0%;6.5% for the prevalence rate by hospital infection;and 7.0% for the case prevalence rate.The main areas of hospital infection are the operation incisions;the main risks are the malnutrition and trauma;The incidence of antibiotic use was 38.7%.CONCLUSION The surveyors on hospital prevalence this time have all been trained strictly,so their results are credible.The injury or malnutrition patients should be given enhancing surveillance.Processing of injury patients and the environmental management should be strengthened to strictly perform the aseptic operation and control the hospital infection.

关 键 词：骨科 医院感染 现患率 调查 分析 

分 类 号：R181.32[医药卫生—流行病学]