心内科住院患者院内感染危险因素及防控对策研究  

Risk Factors of Nosocomial Infections in Inpatients of Cardiology Department and Prevention and Control Strategies

作　　者：屠袁园 赵菊伟[1] TU Yuan-yuan;ZHAO Ju-wei(Hangzhou Red Cross Hospital)

机构地区：[1]杭州市红十字会医院

出　　处：《医院管理论坛》2020年第1期58-60,共3页Hospital Management Forum

基　　金：浙江省医药卫生科技计划项目,编号:2016KYB304。

摘　　要：目的探讨心内科住院患者发生院内感染的危险因素及预防措施。方法对2015年1月至2018年12月在杭州市红十字会医院收治的848例心内科住院患者进行回顾性调查分析,依据是否发生院内感染分为感染组(56例)和未感染组(792例),患者的院内感染率及感染部位采用单因素分析,采用多因素Logistic回归分析院内感染的相关危险因素。结果心内科住院患者的院内感染率为6.6%(56/848),以呼吸道感染和泌尿系统感染为主;多因素分析结果显示,影响心内科住院患者院内感染的危险因素包括:合并基础疾病、心功能分级、侵入性操作、抗生素使用种类、抗生素使用时间、住院时间。结论心内科住院患者院内感染率较高,应针对相关危险因素加强对患者基础疾病的治疗,提高机体免疫力,加强对侵入性操作的管理,合理使用抗生素,加强健康教育,降低院内感染率。Objective To explore the risk factors and preventive measures of nosocomial infections in cardiology department.Methods A total of 848 patients hospitalized in cardiology department in Hangzhou Red Cross Hospital from January 2015 to December 2018 were retrospectively investigated,and they were divided into infection group(n=56)and non-infection group(n=792).Univariate analysis was used analyze the nosocomial infection rate and infection sites,and multivariate Logistic regression was used to analyze the risk factors of nosocomial infection.Results The nosocomial infection rate of inpatients in cardiology department was 6.6%(56/848),and the infection mainly happened in respiratory tract and urinary system.Multivariate analysis results showed that the risk factors of nosocomial infections in inpatients in cardiology department included:comorbidities,grading of cardiac function,invasive procedures,type of antibiotic use,time of antibiotic use,length of stay.Conclusion The incidence rate of nosocomial infection in inpatients in cardiology department was relatively high.The measures targeting risk factors should be strengthened including enhancing the treatment of comorbidities,improving the immunity,strengthening the management of invasive procedures,rationally using antibiotics,improving health education,so that the rate of nosocomial infections can be reduced.

关 键 词：心内科 院内感染 危险因素 预防措施 

分 类 号：R197.3[医药卫生—卫生事业管理]