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目的了解手术科室病人医院感染现状及主要危险因素,实施干预策略。方法采用现患率调查的方式,对某医院手术科室患者进行了医院感染调查与危险因素分析。结果该医院手术科室2012年9月15日实查住院手术病人762例,发生医院感染现患24例,现患率为3.15%。引起手术病人医院感染的主要危险因素有手术打击,创伤较大,侵入性操作等。结论该医院手术病人医院感染现患率接近国内水平,但围手术期预防性应用抗菌药物存在不合理现象。
Objective To understand the current status and major risk factors of nosocomial infections in surgical departments and to implement intervention strategies. Methods Using prevalence rate survey, hospital infection and risk factors in a surgical department of a hospital were investigated. Results There were 762 hospitalized patients undergoing surgery in our operating department on September 15, 2012, and 24 patients were present with hospital infection. The prevalence was 3.15%. The main risk factors for nosocomial infections that cause surgical patients include surgery, trauma and invasive procedures. Conclusion The prevalence of nosocomial infections in this hospital is close to the national level, but there is an irrational use of prophylactic antibiotics in the perioperative period.