介入手术室强化消毒隔离管理预防感染的应用效果  

Application effect of reinforcement of sterilization and isolation management in interventional operation rooms to prevent infections

作　　者：陈秀丽[1] 索朝霞[1] 孟洁[1] 张浩[1] 魏社英[1] 

机构地区：[1]河南省肿瘤医院介入手术室,河南郑州450008

出　　处：《中华医院感染学杂志》2016年第19期4535-4537,共3页Chinese Journal of Nosocomiology

基　　金：河南省杰出人才创新基金资助项目(0621002500)

摘　　要：目的探讨介入手术室强化消毒隔离管理预防感染的应用效果,以有效预防介入手术患者医院感染。方法选取医院进行介入诊断或治疗的患者为研究对象,自2013年1月开始实施感染源强化消毒隔离管理,分析强化管理前(2011年1月-2012年12月)1 530例与强化管理后(2013年1月-2014年12月)1 500例患者的感染率、术前10min、手术开始后10、60min及手术结束时室内细菌变化及感染病原菌分布。结果实施感染源强化消毒隔离管理前,介入手术患者感染率为10.39%,显著高于管理后0.93%,差异有统计学意义(P<0.01);实施感染源强化消毒隔离管理后,各个时间段手术室内细菌数均显著低于强化管理前,差异均有统计学意义(P<0.01);强化管理后病原菌检出率前3位分别为大肠埃希菌、铜绿假单胞菌、金黄色葡萄球菌,与强化管理前病原菌分布比较差异均有统计学意义(P<0.01)。结论感染源强化消毒管理可降低不同时间段手术室细菌数,有效降低介入手术治疗患者的医院感染率。OBJECTIVE To explore the application effect of reinforcement of sterilization and isolation management in the prevention of infection in interventional operation rooms,so as to effectively prevent the hospital infections in patients with interventional operation.METHODS Patients were selected for the study of interventional diagnosis or treatment for the study,the hospital began to implement the infection sources to strengthen the disinfection and isolation management since Jan.2013,before that（Jan.2011 to Dec.2012）a total of 1530 cases and after that（Jan,2013 to Dec.2014）a total of 1500 cases of patients were chosen and compared about the infection rates,and bacterial changes and distribution of pathogens 10 min before operation,in 10 min,60min and the end.RESULTS Before the isolation management of disinfection,the infection rate of interventional operation patients was10.39%,which was significantly higher than after 0.93%（P〈0.01）.After the implementation of the infection source to strengthen the disinfection and isolation management,the bacterial count was significantly lower than before（P〈0.01）.The top 3of the infection rate of the pathogens were Escherichia coli,Pseudomonas aeruginosa,Staphylococcus aureus after the management,which were significant different than before（P〈0.01）.CONCLUSIONStrengthening disinfection management of infection sources can reduce the number of bacteria in operation rooms at different times,reduce the incidence of nosocomial infections in patients with interventional therapy.

关 键 词：感染源 强化消毒 介入手术 医院感染 

分 类 号：R612[医药卫生—外科学]