医院感染防控体系在心血管内科患者中的应用效果  

Application of nosocomial infection prevention and control system in patients with cardiovascular diseases

作　　者：李玉琼[1] 李成玲[1] 李雪娟[1] 邹乘香[1] 姜荣泸[1] 

机构地区：[1]宜宾市第一人民医院心内科,四川宜宾644000

出　　处：《中华医院感染学杂志》2017年第15期3571-3574,共4页Chinese Journal of Nosocomiology

摘　　要：目的研究医院感染防控体系在心血管内科患者中的应用效果,为临床心血管内科患者控制感染提供参考依据。方法选择2016年1月-2016年10月于医院心血管内科接受治疗的2 147例患者为观察组,2015年1月-2015年10月治疗的2 015例患者为对照组;对照组患者给予常规护理,观察组患者在医院感染防控体系下进行护理,分析心血管内科感染患者的感染部位和病原菌构成,比较两组患者的感染率、护理满意度和采样合格率。结果观察组有73例出现感染,感染率为3.40%,对照组有132例出现感染,感染率为6.55%(P<0.05);观察组感染部位以呼吸道为主,共64例占87.67%,共分离病原菌81株,以革兰阴性菌为主,共53株占65.43%;观察组患者的病房空气、医护人员手部、物体表面、无菌物品和消毒剂的采样合格率显著高于对照组(P<0.05);观察组总满意率为98.46%,对照组总满意率为82.68%(P<0.05)。结论医院感染防控体系在心血管内科患者中的应用可以显著降低患者感染率,提高采样合格率及患者护理满意度。OBJECTIVE To investigate the effect of prevention and control system of nosocomial infections in patients with cardiovascular diseases,so as to provide references for improving the control of infections in patients with cardiovascular diseases.METHODS A total of 2147 cases patients treated in cardiology department of our hospital from Jan.2016 to Oct.2016 were selected as observation group,and 2015 cases of patients treated in cardiology department of our hospital from Jan.2015 to Oct.2015 treated were selected as control group.Patients in control group were given routine nursing,and in observation group were given nursing care in the nosocomial infection control system.The infection sites and distribution of pathogens were observed,and the infection rate,nursing satisfaction and sampling pass rate between the two groups of patients were compared.RESULTS There were 73 cases of infections in observation group,with the infections rate of 3.40% ,and 132 of infection in control group,with the infection rate of 6.55% （P〈0.05）.The main infection site of observation group was respiratory tract,which were 64 cases,accounting for 87.67% ,and a total of 81 strains of pathogens were isolated,which were mainly 53 strains of gram-negative bacteria,accouting for 65.43% .The sampling qualified rates of air of the wards,hands of the medical staff,surface of the objects,sterile articles and disinfectants of patients in observation group were significantly higher than those in control group（P〈0.05）.The total satisfaction rate of observation group was 98.46% ,the total satisfaction rate of the control group was 82.68% ,and the difference was significant（P〈0.05）.CONCLUSION Application of nosocomial infection prevention and control system in patients with cardiovascular medicine can significantly reduce the infection rate of patients,and improve the sampling qualified rates and patients satisfaction.

关 键 词：医院感染防控体系 心血管内科 病原菌 感染 

分 类 号：R378[医药卫生—病原生物学]