膀胱镜室存在的医院感染因素分析及管理策略  

Factors for nosocomial infections in cystoscopy room and management strategies

作　　者：王岩[1] 刘文杰[1] 王芳[1] 谢艳菊[1] 巩颖 

机构地区：[1]解放军总医院泌尿外科膀胱镜室,北京100853

出　　处：《中华医院感染学杂志》2017年第6期1424-1426,共3页Chinese Journal of Nosocomiology

摘　　要：目的全面分析膀胱镜室存在的医院感染因素,制定全面且有效的控制策略,重视并认识到膀胱镜室工作的重要性。方法回顾性分析膀胱镜室改建前后实行门诊检查和手术的5193例患者临床资料,其中将2015年9月-2016年2月改建前实施感染管理的2456例患者设为对照组,将2016年7月-2016年12月改建后实施感染管理的2737例患者设为干预组,通过比较两组患者的感染率、患者的满意度多方面分析病区存在的感染因素,探讨全面的感染管理策略。结果在实施感染风险管理策略后,干预组发生感染的门诊患者6例,手术患者3例,感染率明显低于对照组(P<0.01),而患者满意度(99.5%)明显高于对照组(P<0.01)。结论全面的规章管理制度,合理的环境布局,高素质的医护团队以及严格的洗消流程能有效地降低膀胱镜室患者的感染率,提高患者满意度。OBJECTIVE To comprehensively analyze the factors for nosocomial infection ins cystoscopy room,put forward the effective control strategies,and attach great importance to the importance of work of the cystoscopy room.METHODS The clinical data of 5193 patients who received outpatient examinations and surgeries before and after reconstruction of cystoscopy room were retrospectively analyzed,2456 patients who were treated with control of infections before the reconstruction（from Sep 2015 to Feb 2016）were assigned as the control group,while2737 patients who were treated with control of infection after the reconstruction（from Jul 2016 to Dec 2016）were set as the intervention group.The infection rate and patients＇ satisfaction were compared between the two groups of patients so as to analyze the factors for the infection in wards,and the comprehensive strategies for control of the infection were explored.RESULTS After the risk management strategies were implemented,there were 6outpatient department patients with infections and 3surgery patients with infections in the intervention group,the infection rate of the intervention group were remarkably lower than that of the control group（P〈0.01）,however,the patients＇ satisfaction of the intervention group was significantly higher than that of the control group（P〈0.01）.CONCLUSIONThe comprehensive regulation and management system,reasonable environment layout,high-quality health care team,and rigid procedures of cleaning and disinfection may effectively reduce the infection rate of the patients of cystoscopy room and improve the patients＇ satisfaction.

关 键 词：膀胱镜室 医院感染 因素 管理策略 

分 类 号：R197[医药卫生—卫生事业管理]