摘要
目的探讨骨科患者医院感染危险因素及护理特点,为临床护理提供依据。方法选取医院2009年2月-2012年2月收治入院的骨科患者病历资料做研究对象,采用目标性监测方法,确定调查内容。结果共发生医院感染102例,感染率5.06%;其中2009-2010年感染率为6.09%,2010-2011年感染率为5.10%,2011-2012年感染率为4.35%;骨科患者医院感染部位主要以手术切口为主,本组中41例占40.20%,其次为呼吸道感染、泌尿道、胃肠道、皮肤软组织等;经采取标本进行病原学检查,共检出病原菌92株,其中较为常见的为大肠埃希菌、铜绿假单胞菌、克雷伯菌属、不动杆菌属、表皮葡萄球菌及真菌,分别占25.00%、18.48%、5.43%、4.35%、14.13%及11.96%;感染病例中共31例进行侵入性操作,其中以导尿管留置为主,共21例占67.74%。结论骨科患者医院感染与多种因素有关,加强护理工作,严格无菌操作,可降低骨科患者医院感染发生率。
OBJECTIVE To explore the risk factors of nosocomial infections in patients of department of orthopedics and to put forward the nursing countermeasures so as to provide basis for the clinical nursing. METHODS The medical records of the patients who admitted to the department of orthopedics were selected as the research objects, the survey was conducted by means of the targeted surveillance. RESULTS The nosocomial infections occurred in 102 patients with the infection rate of 5. 06%. The infection rate was 6. 09% during 2009--2010, 5.10% during 2010--2011, and 4. 35% during 2011-- 2012 ; of all the nosocomial infection sites, the predominant was the surgical incision （with 41 cases accounting for 40.20 %） , followed by the respiratory tract, urinary tract, gastrointestinal tract, and skin and soft tissue. The etiological examination of the sampled specimens showed that there were totally 92 strains of pathogens isolated,among which the most prevalent species were Escherichia coli, Pseudomonas aeruginosa, K. lebsiella, Acinetobacter, Staphylococcus epidermidis, and fungi, accounting for 25.00 %, 18.48 %, 5.43 %, 4. 35 %, 14.13 %, and 11.96 %, respectively . There were 31 cases of patients who underwent the invasive operation which were dominated by the urinary catheterization indwelling , with 21 cases in total accounting for 67.74%. CONCLUSION There are many factors associated with the nosocomial infections in the patients of department of orthopedics; it is an effective way to reduce the incidence of nosocomial infections in the department of orthopedics by strengthening the nursing and strictly implementing the aseptic operation.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第6期1332-1333,共2页
Chinese Journal of Nosocomiology
关键词
骨科
医院感染
危险因素
护理
Department of orthopedics
Nosocomial infection
Risk factor
Nursing care
