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目的分析河南省人民医院2007、2008年度妇科手术后院内感染发生的相关因素。方法根据两年内妇科住院患者的病历、院内感染登记表、细菌培养及药敏数据进行统计和分析。结果两年间妇科手术后院内感染率、手术方式无差异,感染发生部位前两位无差异,第三位2007年为呼吸道,2008年为泌尿道。耐药菌中占首位的均为大肠埃希氏菌,第二位2007年为肺炎克雷伯杆菌,2008年为铜绿假单胞菌,第三位2007年为铜绿假单胞菌,2008年为鲍曼不动杆菌。多种细菌的耐药率呈递增趋势。结论加强院内感染的管理,重视病原学检查,合理使用抗生素,从多环节入手,有效降低院内感染的发生率。
Objective To analyze the related factors of nosocomial infection after gynecological surgery in Henan Provincial People’s Hospital in 2007 and 2008. Methods According to the records of gynecological inpatients, the registration form of nosocomial infection, bacterial culture and drug susceptibility data within two years, the data were analyzed and statistically analyzed. Results Two years after hospital gynecological infection rate, no difference in surgical approach, the infection occurred in the first two no difference, the third in 2007 for the respiratory tract, in 2008 for the urinary tract. Escherichia coli is the most common drug-resistant bacterium, the second is Klebsiella pneumoniae in 2007, Pseudomonas aeruginosa in 2008, and the third is Pseudomonas aeruginosa in 2007. Acinetobacter baumannii. The resistance rate of a variety of bacteria showed an increasing trend. Conclusion To strengthen the management of nosocomial infections, pay attention to the etiological examination, use antibiotics reasonably, start from many aspects and effectively reduce the incidence of nosocomial infections.