CAJ | 학술논문

目的调查眼科医院手术室医院感染的危险因素,并提出相应的预防措施.方法对眼科医院手术室医院感染危险因素进行监测和分析,对分离样品进行微生物培养鉴定.结果眼科手术引起医院感染危险因素包括眼科手术的特殊性、患者自身免疫力低下、手术室环境的污染等.2例切口感染标本分离出主要致病菌为表皮葡萄球菌、金黄色葡萄球菌,其耐药性不强.手术室外部环境中分离的33株细菌可检出5株表皮葡萄球菌、大肠杆菌、肺炎克雷伯菌等条件致病菌,其中2株为产 ESBLs 的大肠杆菌.结论可通过加强医护人员医院感染意识,严格手卫生、物品表面及环境的清洁,及为患者提供优良的护理来降低医院感染的发生.
목적조사안과의원수술실의원감염적위험인소,병제출상응적예방조시.방법대안과의원수술실의원감염위험인소진행감측화분석,대분리양품진행미생물배양감정.결과안과수술인기의원감염위험인소포괄안과수술적특수성、환자자신면역력저하、수술실배경적오염등.2례절구감염표본분리출주요치병균위표피포도구균、금황색포도구균,기내약성불강.수술실외부배경중분리적33주세균가검출5주표피포도구균、대장간균、폐염극뢰백균등조건치병균,기중2주위산 ESBLs 적대장간균.결론가통과가강의호인원의원감염의식,엄격수위생、물품표면급배경적청길,급위환자제공우량적호리래강저의원감염적발생.
Objective To investigate the risk factors of nosocomial infection in eye hospital operating theaters. Methods The risk factors of nosocomial infection in eye hospital were surveyed and analyzed from March 2011 to March 2012. The bacteria strains separated from the samples were identified. Results The risk factors causing hospital infection included types of eye surgery, immune depression of patients and sterile conditions of operating theater. The bacteria strains separated from two cases of incision infection were Staphylococcus epidermidis and Staphylococcus aureus, both were sensitive to antibiotics. Five strains of pathogen separated from environment of operating theaters were Staphylococcus epidermidis, Staphylococcus aureus, Kleb-siel a pneumonia and E.coli; two strains of E.coli were identified to produce extended-spectrum beta-lactamase (ESBL). Con-clusion The monitoring and analysis of risk factors wil be helpful to prevent nosocomial infection in eye hospital operating the-aters.