肺功能检查中医院感染的预防与控制  

Prevention and control of nosocomial infection in pulmonary function examination

作　　者：焦明芝[1] 亓梅[1] 张宁[2] 孟红梅[3] 董林萍[4] 李欣莹[5] JIAO Ming-zhi QI Mei ZHNAG Ning MENG Hong.mei DONG Lin-ping LI Xin-ying(Shandong Provincial Hospital, Jinan, Shandong 250022, Chin)

机构地区：[1]山东大学附属省立医院呼吸内科,山东济南250022 [2]山东大学附属省立医院耳鼻喉眩晕科,山东济南250022 [3]山东大学附属省立医院神经外科,山东济南250022 [4]山东大学附属省立医院心内科,山东济南250022 [5]山东大学附属省立医院急诊科,山东济南250022

出　　处：《中华医院感染学杂志》2017年第7期1644-1646,1680,共4页Chinese Journal of Nosocomiology

摘　　要：目的探讨影响肺功能检查中医院感染发生的相关因素,明确医院感染的预防重点与控制措施。方法选取2011年3月-2015年2月在医院接受肺功能检查的患者5 503例,依据检查时间分为观察组(2013年3月-2015年2月)和对照组(2011年3月-2013年2月),分析医院感染的病原菌种类及肺功能检查中医院感染的相关影响因素,比较两组患者的医院感染率及菌落监控结果。结果 5 503例患者接受肺功能检查,医院感染患者144例,感染率为2.62%;不同年龄、是否合并其他基础疾病、是否严格执行无菌操作规范、是否存在环境污染、设备污染、医护人员污染及医护人员预防医院感染不同知识掌握程度是发生医院感染的危险因素(P<0.05);观察组的环境、设备、医护人员菌落数均显著低于对照组,差异有统计学意义(P<0.05)。结论肺功能检查中医院感染的发生与环境、设备、医护人员污染等因素密切相关,医护人员应加强感染控制力度,严格遵守无菌操作规范,预防医院感染。OBJECTIVE To explore the related factors of nosocomial infections in pulmonary function examination, and to clarify the prevention and control measures of nosocomial infections. METHODS A total of 5503 cases of patients with pulmonary function examination in hospital from Mar. 2011 to Feb. 2015 were selected, and were di- vided into observation group （Mar. 2013 to Feb. 2015） and control group （Mar. 2011 to Feb. 2013） according to the examination time. Pathogens and related factors of nosocomial infections of pulmonary function examination were analyzed, and hospital infection rates and colony monitoring results of the two groups of patients were com- pared. RESULTS A total of 5503 patients underwent pulmonary function examination, and 144 cases of patients occurred nosocomial infections, with the infection rate of 2.62%. Different ages, whether or not combined with other basic diseases, whether the strict implementation of aseptic operation standard, whether there existed envi- ronmental pollution, equipment pollution and staff pollution, and different knowledge levels of prevention of noso- comial infections by medical staff were risk factors for nosocomial infections （P〈0.05）. The numbers of colonies of environment, equipment and medical staff in observation group were significantly lower than those in control group （P〈0.05）. CONCLUSION The incidence of nosocomial infections in pulmonary function examination is closely related to the environment pollution, equipment pollution, medical staff pollution and other factors, so the medical staff should strengthen the control of infections, strictly abide by the aseptic operation standard, and pre- vent nosocomial infections.

关 键 词：肺功能检查 医院感染 因素 预防 

分 类 号：R181.32[医药卫生—流行病学]