中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
8期
1795-1797
,共3页
曾晓辉%徐冰凌%林澜溪%刘大钺
曾曉輝%徐冰凌%林瀾溪%劉大鉞
증효휘%서빙릉%림란계%류대월
心血管内科%医院感染%改进措施
心血管內科%醫院感染%改進措施
심혈관내과%의원감염%개진조시
Department of cardiovascular internal medicine%Nosocomial infection%Improvement measures
目的：分析综合医院心血管内科医院感染的发生率及临床特征，总结干预措施，以降低医院感染率。方法回顾性调查2008年1月－2012年12月心血管内科7654例患者临床资料，调查分析医院感染发生的部位及病原菌分布；对照研究2008－2010年（干预前）与2011－2012年（干预后）患者发生医院感染的资料，采用 SPSS 18．0软件进行数据统计及对比。结果心血管内科7654例患者发生医院感染178例、184例次，感染率2．3％、例次感染率2．4％、日感染率为2．7‰；感染部位以呼吸道最高占78．8％；145例呼吸道感染患者中痰培养阳性91例，培养阳性率62．8％，检出病原菌以革兰阴性菌为主，共64株占70．3％；经过一系列干预措施，心血管内科医院感染率及日感染率分别由干预前的2．8％和3．0‰下降至干预后的1．8％和2．2‰，差异有统计学意义（P＜0．05）。结论制定切实有效的预防措施与护理对策，可以降低心血管内科医院感染的发生。
目的：分析綜閤醫院心血管內科醫院感染的髮生率及臨床特徵，總結榦預措施，以降低醫院感染率。方法迴顧性調查2008年1月－2012年12月心血管內科7654例患者臨床資料，調查分析醫院感染髮生的部位及病原菌分佈；對照研究2008－2010年（榦預前）與2011－2012年（榦預後）患者髮生醫院感染的資料，採用 SPSS 18．0軟件進行數據統計及對比。結果心血管內科7654例患者髮生醫院感染178例、184例次，感染率2．3％、例次感染率2．4％、日感染率為2．7‰；感染部位以呼吸道最高佔78．8％；145例呼吸道感染患者中痰培養暘性91例，培養暘性率62．8％，檢齣病原菌以革蘭陰性菌為主，共64株佔70．3％；經過一繫列榦預措施，心血管內科醫院感染率及日感染率分彆由榦預前的2．8％和3．0‰下降至榦預後的1．8％和2．2‰，差異有統計學意義（P＜0．05）。結論製定切實有效的預防措施與護理對策，可以降低心血管內科醫院感染的髮生。
목적：분석종합의원심혈관내과의원감염적발생솔급림상특정，총결간예조시，이강저의원감염솔。방법회고성조사2008년1월－2012년12월심혈관내과7654례환자림상자료，조사분석의원감염발생적부위급병원균분포；대조연구2008－2010년（간예전）여2011－2012년（간예후）환자발생의원감염적자료，채용 SPSS 18．0연건진행수거통계급대비。결과심혈관내과7654례환자발생의원감염178례、184례차，감염솔2．3％、례차감염솔2．4％、일감염솔위2．7‰；감염부위이호흡도최고점78．8％；145례호흡도감염환자중담배양양성91례，배양양성솔62．8％，검출병원균이혁란음성균위주，공64주점70．3％；경과일계렬간예조시，심혈관내과의원감염솔급일감염솔분별유간예전적2．8％화3．0‰하강지간예후적1．8％화2．2‰，차이유통계학의의（P＜0．05）。결론제정절실유효적예방조시여호리대책，가이강저심혈관내과의원감염적발생。
OBJECTIVE To analyze the incidence and clinical features of nosocomial infections in the department of cardiovascular internal medicine of general hospital and study the improvements and achievements after interven‐tion .METHODS The data of 7 654 patients in the department of cardiovascular internal medicine from Jan .2008 to Dec .2012 were analyzed retrospectively for nosocomial infections to investigate the infection sites and the pathogen distribution .The data of nosocomial infections in patients in the year 2008 to 2010 (before intervention) and those in the year 2011 to 2012 (after intervention) were compared with the statistical software SPSS 18 .0 . RESULTS The 7 654 patients had 178 cases of nosocomial infections and 184 case‐times of nosocomial infections , indicating that the incidence of nosocomial infections was 2 .3% ,the case‐time infection rate was 2 .4% and the daily infection rate was 2 .7‰ .The main infection site was respiratory tract (78 .8% ) .There were 91 cases with positive sputum cultures out of the 145 cases of respiratory tract infections ,the positive rate was 62 .8% .Among them ,main pathogens were gram negative bacteria (64 strains ,70 .3% ) .After intervention ,the incidence and daily incidence of nosocomial infections were declined from 2 .8% and 3 .0‰ to 1 .8% and 2 .2‰ respectively ,with significantly difference (P<0 .05) .CONCLUSION The effective methods and nursing countermeasures can reduce the incidence of nosocomial infections in the department of cardiovascular internal medicine .
