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目的:探讨肾内科住院患者发生院内感染的潜在危险因素,研究针对性的院感防控管理对策,为加强医院感染管理提供参考。方法:对2012年6月~2014年6月肾内科350例住院患者的临床资料进行回顾性分析,分析院内感染的发生情况和引起院内感染的相关危险因素,提出相应的预防建议。结果:350例临床资料中有38例发生院内感染,发生率10.85%;引起感染的病原菌主要包括革兰阴性菌、革兰阳性菌和真菌;感染部位主要包括呼吸道、肺、泌尿道;与院内感染密切相关的危险因素主要包括患者年龄(60岁以上)、住院时间(超过1个月)、患有基础疾病等。结论:规范科室医院感染管理和监管制度,加强医务人员感染防控意识和相关技能培训,对于控制医院感染发生率具有重要意义。
Objective: To investigate the potential risk factors of nosocomial infection in inpatients with nephrology and to study the targeted nosocomial control measures, so as to provide reference for strengthening the management of nosocomial infections. Methods: The clinical data of 350 hospitalized patients in Department of Nephrology from June 2012 to June 2014 were retrospectively analyzed. The incidence of nosocomial infections and the risk factors associated with nosocomial infections were analyzed. Relevant preventive suggestions were put forward. Results: Of the 350 clinical data, 38 cases had nosocomial infection with a rate of 10.85%. The pathogens causing infection mainly included Gram-negative bacteria, Gram-positive bacteria and fungi. The infection sites included respiratory tract, lung and urinary tract, Risk factors closely related to infection include the patient’s age (60 years of age), hospital stay (more than 1 month), suffering from underlying diseases. Conclusion: It is of great significance to regulate the management and supervision system of nosocomial infection in hospitals and departments and to strengthen awareness of infection prevention and control and related skills training among medical staffs, so as to control the incidence of nosocomial infections.