中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
23期
22-23
,共2页
涂友明%邓小斌%周宏明%王劲松%广峰
塗友明%鄧小斌%週宏明%王勁鬆%廣峰
도우명%산소빈%주굉명%왕경송%엄봉
普外科%医院感染%病原菌%感染部位
普外科%醫院感染%病原菌%感染部位
보외과%의원감염%병원균%감염부위
General surgery department%Hospital infection%Pathogenic bacteria%Infected site
目的 分析普外科患者医院感染发生情况,为临床预防医院感染提供基础.方法 选取2009年1月~2013年12月普外科6 215例住院患者的临床资料,调查分析医院感染发生率、感染部位、感染病原菌分布.结果 医院感染共91例,感染率为1.46%;Ⅱ类和Ⅲ类手术感染率高于Ⅰ类手术,χ2=7.301,P=0.007;χ2=6.538,P=0.011,差异具有统计学意义.感染部位:呼吸道感染占39.56%,泌尿系统感染占18.68%、消化系统感染占17.58%、手术切口感染占13.19%、皮肤及黏膜感染占4.40%、血液感染占4.40%和其他占2.20%;共分离菌株132株,其中革兰阳性菌占53.79%,革兰阴性菌占46.21%,真菌占19.09%.结论 加强医院感染的临床监测,掌握感染部位及病原菌特征,指导临床合理选择防治方案,能够降低医院感染发生率.
目的 分析普外科患者醫院感染髮生情況,為臨床預防醫院感染提供基礎.方法 選取2009年1月~2013年12月普外科6 215例住院患者的臨床資料,調查分析醫院感染髮生率、感染部位、感染病原菌分佈.結果 醫院感染共91例,感染率為1.46%;Ⅱ類和Ⅲ類手術感染率高于Ⅰ類手術,χ2=7.301,P=0.007;χ2=6.538,P=0.011,差異具有統計學意義.感染部位:呼吸道感染佔39.56%,泌尿繫統感染佔18.68%、消化繫統感染佔17.58%、手術切口感染佔13.19%、皮膚及黏膜感染佔4.40%、血液感染佔4.40%和其他佔2.20%;共分離菌株132株,其中革蘭暘性菌佔53.79%,革蘭陰性菌佔46.21%,真菌佔19.09%.結論 加彊醫院感染的臨床鑑測,掌握感染部位及病原菌特徵,指導臨床閤理選擇防治方案,能夠降低醫院感染髮生率.
목적 분석보외과환자의원감염발생정황,위림상예방의원감염제공기출.방법 선취2009년1월~2013년12월보외과6 215례주원환자적림상자료,조사분석의원감염발생솔、감염부위、감염병원균분포.결과 의원감염공91례,감염솔위1.46%;Ⅱ류화Ⅲ류수술감염솔고우Ⅰ류수술,χ2=7.301,P=0.007;χ2=6.538,P=0.011,차이구유통계학의의.감염부위:호흡도감염점39.56%,비뇨계통감염점18.68%、소화계통감염점17.58%、수술절구감염점13.19%、피부급점막감염점4.40%、혈액감염점4.40%화기타점2.20%;공분리균주132주,기중혁란양성균점53.79%,혁란음성균점46.21%,진균점19.09%.결론 가강의원감염적림상감측,장악감염부위급병원균특정,지도림상합리선택방치방안,능구강저의원감염발생솔.
Objective To investigate the hospital infection in general surgery department, and to provide a basis method for clinical preventing hospital infection.Methods Selected 6 215 clinical data of patients in general surgery department from January 2009 to December 2013, analyzed the rate of hospital infection, infected site and distribution of pathogenic bacteria. Results 91 cases with hospital infection and the infected rate was 1.46%. The rate of typeⅡ andⅢ surgery was higher than typeⅠ, χ2=7.301, P=0.007, χ2=6.538,P=0.011, had difference statistically signiifcance. The infected sites contained respiratory infection was 39.56%, urinary tract infection was 18.68%, digestive system infection was 17.58%, incision infection was 13.19%, skin and soft tissue infection was 4.40%, blood infection was 4.40% and others was 2.20%. 132 strains were identiifed, and it contained gram-positive bacteria was 53.79%, gram-negative bacteria was46.21% and fungi was 19.09%.Conclusion To strengthen the clinical monitoring of hospital infection, to master infected sites and characteristics of pathogenic bacteria, it's good to guide clinical rational use of drugs and reduce the incidence of hospital infection.
