眼科医院手术室医院感染的监测及其析因  

Risk factors of nosocomial infection in eye hospital operating theaters

作　　者：缪晓临[1] 王震[1] 陈燕燕[2] 

机构地区：[1]温州医学院附属眼视光医院杭州院区院感科,杭州310020 [2]温州医学院附属眼视光医院院感科

出　　处：《浙江医学》2013年第2期116-117,130,共3页Zhejiang Medical Journal

基　　金：浙江省医药卫生科技计划项目（2009B103）

摘　　要：目的调查眼科医院手术室医院感染的危险因素，并提出相应的预防措施。方法对眼科医院手术室医院感染危险因素进行监测和分析，对分离样品进行微生物培养鉴定。结果眼科手术引起医院感染危险因素包括眼科手术的特殊性、患者自身免疫力低下、手术室环境的污染等。2例切口感染标本分离出主要致病菌为表皮葡萄球菌、金黄色葡萄球菌。其耐药性不强。手术室外部环境中分离的33株细菌可检出5株表皮葡萄球菌、大肠杆菌、肺炎克雷伯菌等条件致病茵，其中2株为产ESBLs的大肠杆菌。结论可通过加强医护人员医院感染意识，严格手卫生、物品表面及环境的清洁，及为患者提供优良的护理来降低医院感染的发生。Objective TO investigate the risk factors of nosocomial infection in eye hospital operating theaters. Methods The risk factors of nosocomial infection in eye hospital were surveyed and analyzed from March 2011 to March 2012. The bacteria strains separated from the samples were identified. Results The risk factors causing hospital infection included types of eye surgery, immune depression of patients and sterile conditions of operating theater. The bacteria strains separated from two cases of incision infection were Staphylococcus epidermidis and Staphylococcus aureus, both were sensitive to antibiotics. Five strains of pathogen separated from environment of operating theaters were Staphylococcus epidermidis, Staphylococcus aureus, Kleb- siella pneumonia and E.coli; two strains of E.coli were identified to produce extended-spectrum beta-lactamase （ESBL）. Con- clusion The monitoring and analysis of risk factors will be helpful to prevent nosocomial infection in eye hospital operating the- aters.

关 键 词：眼科医院感染监测析因 

分 类 号：R192.6[医药卫生—卫生事业管理]