中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2015年
12期
167-168,171
,共3页
职业病%医院内感染%病原菌
職業病%醫院內感染%病原菌
직업병%의원내감염%병원균
Occupational disease%Nosocomial infection%Pathogenic bacteria
目的：了解职业病患者医院内感染及病原菌分布特点，指导临床抗菌药物的正确应用并为制定院感防控措施提供科学依据。方法由感控专职人员和科室感控兼职人员联合协作，采用患者床旁询问、查阅运行病历和出院病历回顾性调查相结合，对2012年1月-2014年12月收治的1976例职业病患者，46例次医院感染病例，230株病原菌进行统计分析。结果2012年要2014年职业病例次感染率分别是1.06%、3.67%、1.89%，平均例次感染率是2.33%；感染部位以呼吸道为主占60%，其次是泌尿道占20%；胃肠道占13.33；病原菌以革兰氏阴性杆菌为主占91.30%。结论职业病患者医院感染率低于卫计委规定的二级综合性医院感染率≤8%的标准，感染部位和病原菌与国内文献报道一致。以后该院要提高病原菌送检率和药敏试验以指导抗菌药物的合理应用。
目的：瞭解職業病患者醫院內感染及病原菌分佈特點，指導臨床抗菌藥物的正確應用併為製定院感防控措施提供科學依據。方法由感控專職人員和科室感控兼職人員聯閤協作，採用患者床徬詢問、查閱運行病歷和齣院病歷迴顧性調查相結閤，對2012年1月-2014年12月收治的1976例職業病患者，46例次醫院感染病例，230株病原菌進行統計分析。結果2012年要2014年職業病例次感染率分彆是1.06%、3.67%、1.89%，平均例次感染率是2.33%；感染部位以呼吸道為主佔60%，其次是泌尿道佔20%；胃腸道佔13.33；病原菌以革蘭氏陰性桿菌為主佔91.30%。結論職業病患者醫院感染率低于衛計委規定的二級綜閤性醫院感染率≤8%的標準，感染部位和病原菌與國內文獻報道一緻。以後該院要提高病原菌送檢率和藥敏試驗以指導抗菌藥物的閤理應用。
목적：료해직업병환자의원내감염급병원균분포특점，지도림상항균약물적정학응용병위제정원감방공조시제공과학의거。방법유감공전직인원화과실감공겸직인원연합협작，채용환자상방순문、사열운행병력화출원병력회고성조사상결합，대2012년1월-2014년12월수치적1976례직업병환자，46례차의원감염병례，230주병원균진행통계분석。결과2012년요2014년직업병례차감염솔분별시1.06%、3.67%、1.89%，평균례차감염솔시2.33%；감염부위이호흡도위주점60%，기차시비뇨도점20%；위장도점13.33；병원균이혁란씨음성간균위주점91.30%。결론직업병환자의원감염솔저우위계위규정적이급종합성의원감염솔≤8%적표준，감염부위화병원균여국내문헌보도일치。이후해원요제고병원균송검솔화약민시험이지도항균약물적합리응용。
Objective To investigate the distribution of nosocomial infections and pathogenic bacteria in patients with occupational diseases, and to provide the correct application of antibiotics and provide scientific basis for the prevention and control of nosoco-mial infections.Methods By the sense of control full-time staff and Department of part-time staff joint collaboration of infection control, adopted at the patient's bedside inquiry, access to medical and hospital records retrospective study combined, in January 2012-2014 December 1976 cases of occupational disease patients, 46 cases nosocomial infection cases and 230 strains of pathogenic bacteria were statistically analyzed. Results In 2012-2014 occupational disease infection rate respectively is 1.06%and 3.67%, 1.89%, average case infection rate is 2.33%; site of infection in respiratory tract accounted for 60%, followed by uri-nary tract accounted for 20%; gastrointestinal accounted for 13.33; pathogenic bacteria in gram negative bacteria dominated (91.30%). Conclusion Patients with occupational diseases hospital infection rate of less than prescribed by the Planning Commis-sion secondary general hospital infection rate of less than or equal to 8% of the standard, site of infection and pathogenic bacteria and reported in domestic literature comments. After the hospital to guide the proper use of antibiotics to improve pathogen detec-tion rate and drug sensitivity test.
