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目的:探讨基层医院妇产科医院感染现状与管理中的薄弱环节,提出有效的管理对策。方法:对2014~2015年浙江省三门县人民医院妇产科收治的7224例患者的临床资料进行回顾性分析,统计妇产科医院感染的发生情况。结果:妇产科医院感染发生率为1.11%;在易感染部位上,外阴切口感染率最高,为32.42%,上呼吸道感染率为26.52%。存在的管理薄弱环节为制度不健全、医院感染控制意识薄弱、科室布局不合理、抗菌药物使用不合理等。结论:基层医院妇产科医院感染发生率较高,与医院管理有很大的关系。针对薄弱环节采取措施,改善妇产科病房的管理,可有效降低医院感染发生率。
Objective: To explore the status quo and management of grass-roots hospital obstetrics and gynecology hospital weak links, put forward effective management strategies. Methods: The clinical data of 7224 patients admitted to Obstetrics and Gynecology Hospital of Sanmen County People’s Hospital of Zhejiang Province from 2014 to 2015 were retrospectively analyzed. The incidence of obstetrics and gynecology hospital infection was statistically analyzed. Results: The incidence of obstetrics and gynecology hospital infection was 1.11%. In susceptible sites, the infection rate of vulva incision was the highest (32.42%) and the upper respiratory tract infection rate was 26.52%. The existence of weak links in the management of the system is not perfect, the hospital infection control awareness is weak, unreasonable department layout, use of anti-bacterial drugs and so on. Conclusion: The prevalence of obstetrics and gynecology hospital infection in grass-roots hospitals is high, which has a great relationship with hospital management. Take measures against the weak links to improve the management of obstetrics and gynecology wards, which can effectively reduce the incidence of nosocomial infections.