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妇产科综合病房医院感染危险因素分析及护理对策 被引量:70

Risk factors for nosocomial infections in comprehensive maternity ward and nursing measures
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摘要 目的分析妇产科综合病房医院感染危险因素及相应的护理对策。方法回顾性分析医院2010年2月-2011年5月妇产科综合病房医院感染情况,并针对引起感染的危险因素给予相关护理措施。结果妇产科患者3120例,其中妇科1916例,产科1204例,共发生医院感染65例,其中妇科48例,感染率为2.5%;产科17例,感染率为1.4%;妇科医院感染主要以呼吸道、消化道为主;产科以呼吸道、手术切口为主;妇科感染因素中留置导尿、年龄>50岁、住院时间>9d、化疗者均为感染因素;产科医院感染因素包括留置导尿、妊娠合并症、住院时间长。结论在妇产科护理过程中,严格执行无菌操作,针对易感因素采取相应措施,能够预防和减少医院感染的发生率。 OBJECTIVE To investigate the risk factors for nosocomial infections in obstetrics and gynecology ward and to explore the nursing countermeasures.METHODS A retrospective analysis of the patients in the hospital maternity ward from Feb.2010 to May 2011 was performed and correlated measures were proposed.RESULTS Relevant nursing measures were proposed from gynecology ward in 1916 cases,and 1204 cases from obstetric ward.There were 65 cases detected with infection,including 48 gynecological cases,with an infection rate 2.5%;17 obstetric cases,with an infection rate 1.4%.Gynecological nosocomial infections mainly occurred in the respiratory tract and gastrointestinal tract;obstetric nosocomial infections mainly occurred in respiratory tract and surgical incision site.The risk factors for gynecological infection included catheterization,older than 50 years,length of stay 9 d,and chemotherapy;the risk factors for nosocomial infections in department of obstetrics included catheterization,pregnancy complications,long length of hospital stay.CONCLUSION In the course of obstetric and gynecological care,strict aseptic measures should be taken and the risk factors shall be managed to prevent and reduce the incidence of nosocomial infections.
作者 俞小萍
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2012年第5期947-948,共2页 Chinese Journal of Nosocomiology
关键词 妇产科 医院感染 危险因素 护理 Obstetrics and gynecology Nosocomial infection Risk factors Care
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