骨科手术患者医院感染的相关危险因素分析  

Risk factors and prevention for nosocomial infections in patients undergoing orthopedic operation

作　　者：吴颖娜[1] 曾宪铁[1] 金鸿宾[1] 张楠楠[1] 

机构地区：[1]天津市天津医院病案室,天津300021

出　　处：《中华医院感染学杂志》2015年第4期880-881,884,共3页Chinese Journal of Nosocomiology

基　　金：天津市卫生局科技基金资助项目(2012KZ054)

摘　　要：目的探讨骨科手术患者发生医院感染的相关危险因素,提出有针对性的预防措施,以降低感染率。方法收集2013年1-6月出院的7 575例骨科手术患者的临床资料,分析其发生医院感染的相关危险因素,数据采用SPSS19.0统计软件进行处理。结果 7 575例患者发生医院感染124例,感染率1.64%;感染部位以手术切口为主,占51.61%;年龄、基础疾病、侵入性操作、手术时间和手术切口类型是患者发生医院感染的危险因素,差异有统计学意义(P<0.05)。结论通过病案信息及时监测危险因素,采取有针对性的预防和管理措施,预防与控制医院感染。OBJECTIVE To discuss related risk factors of nosocomial infections in patients undergoing orthopedic operation in our hospital so as to provide targeting preventive measures and reduce the infection rate.METHODS Clinical data of 7 575 patients undergoing orthopedic operation who were discharged from Jan.to Jun.2013 were collected for analysis of related risk factors.Data were processed by the statistical software SPSS19.0.RESULTS Totally 124 of the 7 575 patients developed nosocomial infections（the infection rate 1.64%）.The infected site was mainly operation incision accounting for 51.61%.The risk factors of nosocomial infections were age,underlying disease,invasive operations,operation time,and operative incision types,with statistical significance（P〈0.05）.CONCLUSIONNosocomial infections can be prevented and controlled by timely monitoring risk factors through medical data and taking targeted prevention and management measures.

关 键 词：骨科手术 医院感染 危险因素 预防措施控制 

分 类 号：R181.32[医药卫生—流行病学]