【摘要】：目的調(diào)查分析醫(yī)院心胸外科術(shù)后患者醫(yī)院感染率、感染部位和感染危險(xiǎn)因素,為臨床防治工作總結(jié)有效的相關(guān)措施,以降低醫(yī)院感染率。方法回顧性分析2007年2月-2012年10月心胸外科手術(shù)治療患者1 587例,根據(jù)性別、年齡、基礎(chǔ)疾病、手術(shù)持續(xù)時(shí)間、侵入性操作和住院時(shí)間等相關(guān)資料,統(tǒng)計(jì)醫(yī)院感染率、感染部位和感染危險(xiǎn)因素,總結(jié)有效防治措施,采用全自動微生物鑒定系統(tǒng)VITEK-32對送檢標(biāo)本進(jìn)行細(xì)菌鑒定,采用SPSS13.0軟件進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析。結(jié)果心胸外科手術(shù)治療1 587例患者發(fā)生醫(yī)院感染125例,感染部位依次為上呼吸道49例、下呼吸道47例和胃腸道14例;醫(yī)院感染病原菌主要為革蘭陰性菌占68.0%,其中以銅綠假單胞菌和鮑氏不動桿菌分離率較高,分別占21.6%、19.2%,革蘭陽性菌以金黃色葡萄球菌占11.2%,真菌以白色假絲酵母菌占6.4%;醫(yī)院感染與年齡、基礎(chǔ)疾病、手術(shù)時(shí)間、侵入性操作和住院時(shí)間均有相關(guān)性(P0.05)。結(jié)論應(yīng)規(guī)范診療工作,嚴(yán)格落實(shí)醫(yī)院感染的各項(xiàng)管理制度,規(guī)范管理流程,避免心胸外科術(shù)后醫(yī)院感染的發(fā)生,以確保醫(yī)療安全。
[Abstract]:Objective to investigate and analyze the nosocomial infection rate, infection site and infection risk factors of patients after cardiothoracic surgery in hospital, and summarize the effective measures for clinical prevention and treatment to reduce the nosocomial infection rate. Methods from February 2007 to October 2012, 1 587 patients undergoing cardiothoracic surgery were retrospectively analyzed. The nosocomial infection rate was counted according to sex, age, underlying disease, operative duration, invasive operation and hospital stay. The infection site and the risk factors of infection were summarized and the effective prevention and treatment measures were summarized. The bacterial identification was carried out by automatic microorganism identification system (VITEK-32) and the data were analyzed by SPSS13.0 software. Results there were 125 cases of nosocomial infection in 1 587 cases treated by cardiothoracic surgery, 49 cases of upper respiratory tract, 47 cases of lower respiratory tract and 14 cases of gastrointestinal tract. The main pathogens of nosocomial infection were Gram-negative bacteria (68.0%), among which the isolation rates of Pseudomonas aeruginosa and Acinetobacter baumannii were higher, accounting for 21.619.2%, respectively, and Gram-positive bacteria accounted for 11.2% of Staphylococcus aureus. Candida albicans accounted for 6.4% of fungi. Nosocomial infection was correlated with age, basic disease, operative time, invasive operation and hospitalization time (P0.05). Conclusion the diagnosis and treatment work should be standardized, the management system of nosocomial infection should be strictly carried out, the management flow should be standardized, and the nosocomial infection after cardiothoracic surgery should be avoided in order to ensure the safety of medical treatment.
【作者單位】： 武漢市中心醫(yī)院心胸外科;
【基金】：吳階平醫(yī)學(xué)部基金會肝病醫(yī)學(xué)部肝病實(shí)驗(yàn)診斷研究基金項(xiàng)目(LDWMF-PJ-2011A001)
【分類號】：R181.32

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本文編號：2363099