摘要
目的分析无陪伴对医院感染率的影响。方法由医院感染管理专职人员采用回顾性调查方法,对无陪伴前(2000-2004年)、后(2005-2009年)5年医院感染率、重点科室感染率、医院感染部位构成比进行统计分析。结果无陪伴后5年医院感染率(6.32%)较前5年(4.67%)下降,差异有统计学意义(P<0.05);重点科室ICU、脑系科、其他内科、肝内科、肝外科、妇产科医院感染率无陪伴后5年(25.31%、9.07%、5.76%、10.88%、9.58%、2.22%)较无陪伴前5年(13.85%、7.96%、4.68%、4.61%、5.24%、0.92%)降低,差异有统计学意义(P<0.05),普外科升高,差异有统计学意义(P<0.05);医院感染部位中,上呼吸道、手术部位、胸腹腔以及其他部位感染率无陪伴后5年(16.41%、6.59%、4.61%、7.74%)较无陪伴前(10.23%、3.38%、2.85%、3.84%)下降,差异有统计学意义(P<0.05),下呼吸道、泌尿道感染率无陪伴后5年(44.06%、14.22%)较无陪伴前升高,差异有统计学意义(P<0.05)。结论无陪伴制度的实施,对预防控制医院感染的发生起到了重要的作用。
OBJECTIVE To analyze the effect of unaccompanied system on nosocomial infection rate. METHODS The nosocomial infection rate, the key departments infection rates and the constitution of the infection sites before and after 5 years useing of unaccompanied system were analyzed statistically by using the nosocomial infection control professionals with the retrospective survey methods. RESULTS The five-year nosocomial infection rates were decreased after the use of unaccompanied system（6.32%） than before（4.67%）（P〈0.05）. The five-year infection rates of the key departments were also decreased （P〈0. 05）, including ICU, neurology department, medical department, hepatology department, obstetric and gynecologic department, and department of pediatrics （25.31%, 9.07%, 5.76 %, 10.88%, 9.58 % and 2.22 %, respectively）, however, the five-year infection rate of general surgery department was ascended（P〈0.05）. The infection rates of different sites were decreased after use of unaccompanied system than before（P〈0.05）, including upper respiratory tract, operation sites, pleural and peritoneal cavity （16.41%,6.59% ,4.60%, and 7.74%） ,compared with before（10.24%,3.38%, 2.85%, and 3.84%）. However, the infection rates of lower respiratory tract and urinary tract were ascended（P〈0.05）. CONCLUSION The implementation of unaccompanied system plays an important role in control and prevention of nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第21期3290-3291,3349,共3页
Chinese Journal of Nosocomiology
关键词
无陪伴
医院感染
感染率
Unaccompanied system
Nosocomial infection
Infection rate
