论文部分内容阅读
目的 为了分析外科病区院内感染的发病情况、感染原因及提高防范措施。方法 参照全国医院感染监测网采用的统一感染诊断标准,收集我院普外科病区1997～1999年142例院内感染病例。结果 上呼吸道和切口感染最高,分别占28.13％和26.87％,其次为肺部感染15％,皮肤软组织感染11.88％,泌尿系统感染8.75％,胃肠道感染5.62％,胸腹腔感染3.75％。结论 认为普通外科病房内呼吸道传染病难以隔离控制,污染切口防范措施不够,污染创口清创欠规范。其次,病情危重,合并症多,住院时间长,抗菌素应用不合理密切相关。提出做好病区管理,及时隔离控制呼吸道传染病,提高医护质量,严格各项医、护操作规范,合理应用抗菌素是防范院内感染关键。
Objective To analyze the incidence of nosocomial infection, the cause of infection and the preventive measures in surgical ward. Methods Reference to the national hospital infection monitoring network using uniform infection diagnostic criteria to collect our hospital general surgery ward 1997 to 1999, 142 cases of nosocomial infections. Results Upper respiratory tract and incision infections were the highest, accounting for 28.13% and 26.87% respectively, followed by 15% of lung infections, 11.88% of skin and soft tissue infections, 8.75% of urinary tract infections, 5.62% of gastrointestinal infections and 3.75% of thoracic and abdominal infections. The conclusion is that it is difficult to isolate and control respiratory infectious diseases in general surgical ward, and the measures to prevent the incision of wounds are not enough. The debridement of wounds is not standardized. Second, the critical condition, complications, hospitalization for a long time, unreasonable use of antibiotics is closely related. Proposed to do ward management, timely isolation and control of respiratory diseases, improve health care quality, strict medical and nursing practices, rational use of antibiotics is the key to preventing nosocomial infections.