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目的:对重症医学科医院感染危险因素进行分析总结,探讨有效控制的管理措施,降低医院感染率。方法:将浙江省新昌县人民医院2012年4月~2014年4月间诊治的120例重症医学科患者为研究对象,根据时间顺序分为对照组和观察组。2012年4月~2013年4月的60例为对照组,未实施感染控制措施。2013年4月~2014年4月的60例患者为观察组,实施感染控制措施。比较两组感染发生情况和感染部位情况。结果:观察组的感染发生率为8.33%,明显低于对照组的28.33%(P<0.05)。感染部位以呼吸道为主,感染率为64.2%。其次为泌尿道、胃肠道等感染。结论:重症医学科的医院感染受多种因素影响,需加大感染防护力度,提高医护人员的感染防护意识,加强探视管理等。
OBJECTIVE: To analyze and summarize the risk factors of Nosocomial Infection in Critical Care Medicine and discuss the effective management measures to reduce the infection rate in hospitals. Methods: One hundred and twenty cases of severe medical subjects diagnosed and treated in Xinchang County People’s Hospital of Zhejiang Province from April 2012 to April 2014 were divided into control group and observation group according to time sequence. From April 2012 to April 2013, 60 cases were control group, and no infection control measures were implemented. From April 2013 to April 2014, 60 patients were in the observation group and infection control measures were implemented. The incidence of infection and the infection site were compared between the two groups. Results: The incidence of infection in the observation group was 8.33%, which was significantly lower than that in the control group (28.33%, P <0.05). Mainly respiratory tract infection, the infection rate was 64.2%. Followed by urinary tract, gastrointestinal and other infections. Conclusion: The hospital infection in the critical care department is affected by many factors. It is necessary to intensify the prevention and control of infection, raise awareness of infection protection among medical staff and strengthen the management of visits.