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目的:分析可导致呼吸科病房发生院内感染的危险因素,探讨相应的防范管理措施,为加强院内感染控制提供参考。方法:将浙江省临安市人民医院呼吸科病房的500例住院患者为观察对象,回顾性分析所有患者的临床资料。将未发生院内感染者设为对照组,共433例;将发生院内感染者设为观察组,共67例。分析导致患者发生院内感染的危险因素。结果:年龄≥60岁、合并糖尿病、住院时间≥14天、气管插管、留置尿管、留置引流管及白蛋白<40g/L均为诱发院内感染的危险因素。结论:多种因素均可诱发呼吸科病房发生院内感染,为有效防范控制医院感染,保证患者安全,应严格执行医院防感染规章制度,增强医护人员无菌意识,在临床护理中严格无菌操作,按时对病房进行通风、消毒,同时做好患者及家属的院内感染相关知识的宣教。
OBJECTIVE: To analyze the risk factors that may lead to nosocomial infections in respiratory ward, to explore the appropriate preventive management measures, and to provide reference for the enhancement of nosocomial infection control. Methods: 500 inpatients in the Respiratory Unit of Lin’an People ’s Hospital of Zhejiang Province were selected as the observation objects, and the clinical data of all the patients were retrospectively analyzed. A total of 433 cases without nosocomial infection were enrolled as control group, and 67 cases with nosocomial infection as observation group. Analysis of risk factors leading to nosocomial infections in patients. Results: Age ≥ 60 years old, with diabetes, hospital stay ≥ 14 days, endotracheal intubation, indwelling catheter, indwelling drainage tube and albumin <40g / L were risk factors for nosocomial infection. Conclusion: Various factors can induce nosocomial infections in respiratory wards. To effectively prevent and control nosocomial infections and ensure the safety of patients, strict rules and regulations on hospital infection prevention should be implemented to enhance the aseptic consciousness of medical personnel and aseptic sterilization in clinical nursing , On time on the ward ventilation, disinfection, at the same time do a good job of patients and their families related knowledge of nosocomial infection mission.