CAJ | 학술논문

目的探讨小儿外科医院感染特点,制定预防医院感染发生的有效措施.方法对某三级综合医院小儿外科2012年1068例住院患儿中发生医院感染的患儿资料进行整理.结果发生医院感染98例,感染率为9.18%;107例次,例次感染率为10.02%.感染部位构成以上呼吸道感染居首,占43.93%,依次为手术切口感染、下呼吸道感染、泌尿道感染、胃肠道感染、腹腔感染、软组织感染、口腔感染和其他部位感染.病原菌以革兰阴性杆菌为主,占84%,革兰阳性球菌占16%,居前5位是大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、阴沟肠杆菌和粪肠球菌.结论加强病区诊疗环境的卫生管理,严格执行无菌操作技术,提高医务人员、患儿及陪护的手卫生依从性,落实病原菌的管理,是预防和控制医院感染的有效措施.
목적탐토소인외과의원감염특점,제정예방의원감염발생적유효조시.방법대모삼급종합의원소인외과2012년1068례주원환인중발생의원감염적환인자료진행정리.결과발생의원감염98례,감염솔위9.18%;107례차,례차감염솔위10.02%.감염부위구성이상호흡도감염거수,점43.93%,의차위수술절구감염、하호흡도감염、비뇨도감염、위장도감염、복강감염、연조직감염、구강감염화기타부위감염.병원균이혁란음성간균위주,점84%,혁란양성구균점16%,거전5위시대장애희균、폐염극뢰백균、동록가단포균、음구장간균화분장구균.결론가강병구진료배경적위생관리,엄격집행무균조작기술,제고의무인원、환인급배호적수위생의종성,락실병원균적관리,시예방화공제의원감염적유효조시.
@@@@Objective To explore the characteristics of nosocomial infection of pediatric surgery and establish effective measures to prevent the infection .Method The materials of 1068 cases of patients who suffered from hospital acquired infection in pediatric surgery department of a certain tertiary general hospital were collected and analyzed from January 2012 to December 2012 .Results 98 cases got nosocomial infection ,and the incidence rate was 9 .18% ,infection case-time was 107 ,and the rate was 10 .02% .The in-fections of upper respiratory accounted for 43 .93% and it was the highest proportion of total positions ,and successively were surgical incision infection ,lower respiratory tract infection ,urinary tract infection ,gastrointestinal infection ,peritoneal infection ,soft tissue infection ,oral infection and other infections .The primary pathogenic bacterium is Gram-negative bacilli ,which accounted for 84% , Gram-positive cocci accounted for 16% ,and the top five pathogenic bacteria were E .coli ,klebsiella pneumoniae carbapenemase (KPC) ,pseudomonas aeruginosa ,enterobacter cloacae and enterococcus faecium ,respectively .Conclusion To strengthen the health management of treatment environment ,carry out asepsis operation strictly ,attach more importance to hand hygiene of staffs ,pa-tients and chaperones in hospital ,strengthen the management of the pathogen ,all above these were the effective measures prevent and control the occurrence of hospital-acquired infection effectively .