医护人员手卫生对儿科医院感染的影响分析  

Influence of hand hygiene of health care workers on nosocomial infections in pediatrics department

作　　者：屠燕屏[1] 汪友兰[2] 鲍艳霞[1] 徐晶晶[1] 孔珍珍[1] 高纯[1] 潘红英[1] 

机构地区：[1]孝感市中心医院儿科,湖北孝感432000 [2]孝感市中心医院供应室,湖北孝感432000

出　　处：《中华医院感染学杂志》2016年第6期1424-1425,1436,共3页Chinese Journal of Nosocomiology

基　　金：湖北省卫生厅科研基金资助项目(JX2B60)

摘　　要：目的探讨医护人员手卫生对患儿发生医院感染的影响。方法选取2013年1月-2014年1月在医院儿科住院患儿1 600例为研究对象,采用减少接触性感染的手卫生干预措施,对比干预前后儿科医院感染率、医护人员手卫生依从性,并对医院感染病原菌分布进行分析,以探讨医护人员手卫生对儿科医院感染的影响。结果与干预前对比,医护人员实施无菌操作前、与患儿接触前、接触后、患儿血液接触后、患儿周围坏境接触后手卫生依从率均显著升高,差异有统计学意义(P<0.05);患儿医院感染16例,感染率为1.00%,干预前感染率为1.50%,干预期间感染率为0.89%,干预后感染率为0.59%,与干预前对比,干预后医院感染率显著降低,差异有统计学意义(P<0.05);干预前8例医院感染患儿分离出病原菌16株,干预期间5例医院感染患儿分离出病原菌10株,干预后3例感染患儿分离出病原菌7株,均以金黄色葡萄球菌及溶血链球菌为主。结论医护人员手卫生对儿科医院感染存在直接影响,手卫生干预能有效降低医院感染率。OBJECTIVE To explore the influence of hand hygiene of health care workers on nosocomial infections in children.METHODS A total of 1 600 children who were hospitalized the pediatrics department from Jan 2013 to Jan 2014 were recruited as the study objects.The hand hygiene interventions were taken to reduce contact infections,the incidence of nosocomial infections and hand hygiene compliance of the health care workers were compared before and after the interventions,the distribution of pathogens causing the nosocomial infections was observed,and the influence of hand hygiene of health care workers on the nosocomial infections was explored.RESULTS The hand hygiene compliance of the health care workers was remarkably improved before the implementation of aseptic operation,before or after contact with the children,after contact with the children＇s blood,or after contact with surroundings of the children,and there was significant difference before and after the interventions were taken（P0.05）.The nosocomial infections occurred in 16 children,with the infection rate 1.00%;the infection rate was 1.50% before the intervention,0.89% during the intervention,0.59% after the intervention,and there was significant difference in the incidence of nosocomial infections before and after the intervention（P0.05）.Totally 16 strains of pathogens were isolated from the 8children with nosocomial infections before the intervention;10strains of pathogens were isolated from the 5children with nosocomial infections during the intervention;7strains of pathogens were isolated from the 3children with nosocomial infections after the intervention.Staphylococcus aureus and Streptococcus hemolyticus were dominant among the isolated pathogens.CONCLUSION The hand hygiene of health care workers has direct impact on the nosocomial infections in the pediatrics department,and the hand hygiene intervention can effectively reduce the incidence of nosocomial infections.

关 键 词：手卫生 医护人员 儿科 医院感染 

分 类 号：R192[医药卫生—卫生事业管理]