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目的分析全程信息化管理在妇科医院感染高危患者中的应用效果,降低妇科医院感染率。方法对医院妇科2011年1月-2014年12月(实施全程信息化管理后)收治的患者940例为观察组,2007年1月-2010年12月(实施全程信息化管理前)收治的患者820例为对照组;统计分析两组患者医院感染率、医院感染高危患者上报资料正确率、医院感染高危风险统计时间和抗菌药物使用情况。结果观察组医院感染高危患者上报资料正确率为100.00%,显著高于对照组的83.93%(χ2=4.986,P=0.028);观察组医院感染率为3.30%,显著低于对照组的5.49%(χ2=4.795,P=0.035);观察组医院感染高危风险统计时间为(5.15±1.25)min,显著低于对照组的(72.30±15.65)min(t=13.296,P<0.01);观察组医院感染患者抗菌药物不合理使用率显著低于对照组(P<0.05)。结论应用全程信息化管理体系可降低妇科高危患者医院感染的发生率,提高医院感染高危患者上报资料正确率,促进医师更加合理的使用抗菌药物,有助于完善妇科高危患者医院感染的预防和控制。
Objective To analyze the application effect of full information management in gynecological hospital with high risk patients and reduce the infection rate in gynecological hospitals. Methods A total of 940 patients admitted to the hospital gynecological department from January 2011 to December 2014 (after the implementation of full information management) were treated as observation group, and patients admitted from January 2007 to December 2010 (before full information management) 820 cases as the control group; Statistical analysis of two groups of patients hospital infection rate, high risk of nosocomial infection of patients reported data accuracy, high risk of nosocomial infection risk statistics and antimicrobial use. Results In the observation group, the reported rate of nosocomial infection was 100.00%, significantly higher than 83.93% (χ2 = 4.986, P = 0.028) in the control group. The nosocomial infection rate in the observation group was 3.30%, which was significantly lower than that in the control group (5.49% (χ2 = 4.795, P = 0.035). The statistical risk of nosocomial infection in the observation group was (5.15 ± 1.25) min, significantly lower than that in the control group (72.30 ± 15.65 min, t = 13.296, The unreasonable use rate of antimicrobials in patients with nosocomial infection was significantly lower than that in the control group (P <0.05). Conclusion The application of the whole information management system can reduce the incidence of nosocomial infections in gynecological high-risk patients and improve the accuracy of data reporting in high-risk patients with nosocomial infections, and promote the rational use of antimicrobial agents by doctors and improve the prevention and control of nosocomial infections in gynecological high-risk patients .