放射科院内感染相关危险因素及防控措施研究  

Study on Risk Factors and Prevention Measures of Nosocomial Infection in Radiology Department

作　　者：徐建国[1] XU Jian-guo(Zhejiang Provincial People＇s Hospita)

机构地区：[1]浙江省人民医院

出　　处：《医院管理论坛》2018年第7期53-55,共3页Hospital Management Forum

摘　　要：目的探讨分析放射科院内感染相关危险因素及其预防管理措施。方法选择2016年4月至2017年4月在我院放射科接受检查发生院内感染的患者67例作为感染组,随机抽取同期在我院放射科接受检查未发生院内感染的130例患者作为未感染组,对两组临床资料及诊疗状况进行调查分析,探讨放射科院内感染相关危险因素。结果单因素分析结果显示,两组患者年龄、就诊类型、空气中细菌清除率、检查者正确洗手消毒、检查室滞留时间比较差异具有统计学意义(p<0.05)。多因素Logistic回归分析结果显示,检查室滞留时间(≥40分钟)、检查者正确洗手消毒(否)、就诊类型(住院)、空气中细菌清除率(<90%)进入回归模型(p<0.05)。结论检查室滞留时间长、检查者洗手消毒不到位、住院患者、空气中细菌清除率低是放射科院内感染发生的独立危险因素。针对上述因素,应加强放射科环境管理、医护人员手卫生管理、特殊检查人群管理以及医院感染管理考核制度等措施,降低放射科院内感染的发生率。Objective To analyze the risk factors associated with nosocomial infection in radiology department and its preventive management measures. Methods A total of 67 patients who undertook examination in radiology department of our hospital fi＇om April, 2016 to April, 2017 and had nosocomial infection were selected as the infection group. And 130 patients who undertook examination in the same period and did not }lave nosocomial infection were selected as the non-itffection group. The clinical data and diagnosis and treatment information of the two groups were compared to explore the risk factors associated with nosocomial infection in radiology department. Results The results of single-factor analysis showed that the difference in age, type of visit, bacteria clearance rate in the air, correct hand washing and disinfection of the examiners, and residence time in the examination room between the two groups were statistically significant （p〈0.05）. Multivariate logistic regression analysis showed that the residence time in the examination room 〉 40 minutes）, the correct hand washing of the examiner （No）, the type of visit （hospitalization）, and the bacteria clearance rate in the air （〈90%） were included in the regression model （p〈0.05）. Conclusion Long residence time in the examination room, incorrect hand washing of the examiner, inpatients, and low bacteria clearance rate in the air are independent risk factors for the occurrence of nosocomial infection in radiology department. Enviromnental management of radiology departments, hand hygiene management of medical staff, management of staff for special examination and nosocomial infection management assessment system should be strengthened to reduce the incidence of nosocomial infection.

关 键 词：放射科 院内感染 

分 类 号：R197.323[医药卫生—卫生事业管理]