CAJ | 학술논문

目的加深对外科术后院内感染临床特征及病原学特点的了解,强化医务人员预防与控制术后院内感染的意识.方法对2007年1月～2008年12月间,首都医科大学附属北京友谊医院外科系统手术后发生的84例院内感染临床病例进行统计及分析.结果我院外科系统院内感染高发科室依次为普外科,泌尿外科及脑外科;院内感染高发部位以呼吸系统感染为主;院内感染相关因素出现例次比前三位的依次为侵入性操作,术中使用全麻,住院总时间大于1个月;病原体以革兰阴性杆菌为主占49.58%,而革兰阳性球菌占35.77%,真菌占14.63%.结论医务人员应提高预防与控制术后院内感染的意识,采取综合性的防范措施,降低外科术后院内感染的发生.
목적 가심대외과술후원내감염림상특정급병원학특점적료해,강화의무인원예방여공제술후원내감염적의식.방법 대2007년1월～2008년12월간,수도의과대학부속북경우의의원외과계통수술후발생적84례원내감염림상병례진행통계급분석.결과 아원외과계통원내감염고발과실의차위보외과,비뇨외과급뇌외과;원내감염고발부위이호흡계통감염위주;원내감염상관인소출현례차비전삼위적의차위침입성조작,술중사용전마,주원총시간대우1개월;병원체이혁란음성간균위주점49.58%,이혁란양성구균점35.77%,진균점14.63%.결론 의무인원응제고예방여공제술후원내감염적의식,채취종합성적방범조시,강저외과술후원내감염적발생.
Objective To deepen the understandirg of the clinical and etiological features of postopera-tive nosocomial infections (NI) in the surgery department. Methods Eighty-four cases of postoperative NI in the surgery department of our hospital during 2007-2008 were analyzed. Results Of the 84 cases investiga-ted,in our hospital, the department of general surgery and urinary surgery and neurosurgery showed a high in-cidence of NI ;the respiratory infection accounted for the majority of all the NI cases. Invasive work and intra-operative general anesthesia and the admission time more than one month were the most common reasons for NI;infection rate of G~- bacilli was 49. 58%, G~+ coccobacteria was 35.77%, fungus was 14. 63%. Con-clusion To upgrade the medical staffs' understanding on how to prevent and control postoperative NI in the surgery department, and to reduce the rate of postoperative NI in the surgery department by taking all-around methods are necessary.