脊柱外科患者医院感染因素分析及护理对策  

Susceptible factors for nosocomial infections in patients of department of spine surgery and nursing countermeasures

作　　者：闫桂虹[1] 张培红[1] 程慧玲[1] 郭江雪[1] 

机构地区：[1]天津市天津医院脊柱外科,天津300211

出　　处：《中华医院感染学杂志》2012年第15期3263-3264,3269,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨脊柱外科患者发生医院感染的相关因素,制定预防与控制医院感染的对策。方法对2006年1月-2010年12月脊柱外科医院感染患者的情况进行统计分析。结果 4057例住院患者中发生医院感染282例、314例次,医院感染率6.95%、例次感染率7.74%;不同原发疾病中骨折脱位、退行性改变的感染率为11.80%、5.22%;感染部位主要为下呼吸道、泌尿道、上呼吸道,分别占35.67%、30.57%、14.01%;医院感染与患者年龄、住院时间、截瘫程度、手术及侵入性操作有关(P<0.01)。结论针对引发医院感染的相关因素采取相应的预防和控制对策,加强基础护理,严格无菌操作及手卫生,减少医院感染。OBJECTIVE To explore the susceptible factors for nosocomial infections in hospitalized patients of department of spine surgery and formulate the strategies for prevention and control of nosocomial infections. METHODS The nosocomial injections in hospitalized patients admitted in department of spine surgery during Jan 2006-Dec 2010 was statistically analyzed. RESULTS Among 4057 hospitalized patients, nosocomial infections occurred in 282 cases, 314 case-times in total, the infection rate was 6.95%, and the case-time infection rate was 7.74%; among various primary diseases, the incidence of nosocomial infections was 11. 8% in fractures and dislocations and 5.22% in degenerative changes ;the main sites with nosocomial infections were lower respiratory tract （35. 67%）, urinary tract （30. 57%） , and upper respiratory tract （14.01%）; the correlative factors for nosocomial infections included the age, length of hospital stay, the severity of paraplegia, surgery and invasive operations（P〈0.01）. CONCLUSION It is necessary to formulate the corresponding strategies for prevention and control according to the susceptible factors for nosocomial infections; to strengthen the basic nursing care and strict aseptic operation and hand hygiene can decrease the incidence of nosocomial infections.

关 键 词：脊柱 医院感染 分析 护理 

分 类 号：R683.2[医药卫生—骨科学]