论文部分内容阅读
目的探讨妇产科住院患者医院感染特点及相关因素。方法回顾性分析2206例妇产科住院患者的临床资料。结果共有64例患者的67个部位发生医院感染,感染率为2.90%;感染部位以呼吸道为主,占35.82%,其次为泌尿道和消化道,分别占31.34%和14.93%;共分离到病原菌67株,革兰阴性菌43株,占64.18%,革兰阳性菌16株,占23.88%,真菌8株,占11.94%;分布最多的3种病原菌为大肠埃希菌、肺炎克雷伯菌和金黄色葡萄球菌,分别占34.33%、16.42%和13.43%;单因素2χ检验显示年龄、疾病类型、住院时间、科室、放(化)疗、手术及侵入性操作等均与医院感染的发生率有关。结论应加强妇产科住院患者真菌与条件致病菌的监测,重视相关因素的管理,做好医院感染的预防与治疗。
Objective To investigate the characteristics and related factors of nosocomial infection in obstetrics and gynecology patients. Methods A retrospective analysis of 2206 cases of obstetrics and gynecology inpatient clinical data. Results A total of 64 patients had nosocomial infections in 67 sites, with an infection rate of 2.90%. Most of the infections were respiratory tract, accounting for 35.82%, followed by urinary tract and gastrointestinal tract, accounting for 31.34% and 14.93% respectively. 67, Gram-negative bacteria 43, accounting for 64.18%, Gram-positive bacteria 16 strains, accounting for 23.88%, 8 fungi, accounting for 11.94%; the three most distributed pathogens are Escherichia coli, Klebsiella pneumoniae And Staphylococcus aureus accounted for 34.33%, 16.42% and 13.43% respectively. Univariate 2χ tests showed that age, type of disease, length of hospital stay, departments, radiotherapy, surgery and invasive procedures were all associated with nosocomial infections Rate related. Conclusion The surveillance of fungal and opportunistic pathogens should be strengthened in inpatients in obstetrics and gynecology department, the management of related factors should be emphasized and the prevention and treatment of nosocomial infections should be done well.