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目的了解骨科3个病区医院感染现患率,调查骨科医院感染中存在问题,找到预防和控制感染有效方法。方法采用床旁调查和病历调查相结合,统计分析处于医院感染状态的病例。结果实查住院患者186例,实查率100.0%,医院感染现患率6.5%,例次现患率7.0%;手术切口是医院感染的主要部位;外伤和营养不良是医院感染的主要危险因素,抗菌药物使用率为38.7%。结论骨科3个病区医院感染现患率调查人员经严格培训,结果较为可靠;需加强对外伤患者、营养不良患者和日常高危因素监测,加强对严重外伤患者伤口的处理和环境管理,严格无菌技术操作,控制医院感染发生。
Objective To understand the prevalence of nosocomial infections in 3 wards in orthopedics and to investigate the existing problems in nosocomial infections of orthopedic hospitals and find effective ways to prevent and control infections. Methods A combination of bedside investigation and medical records was used to analyze the cases of nosocomial infection. Results There were 186 inpatients admitted to hospital, the actual examination rate was 100.0%, the prevalence rate of hospital infection was 6.5%, and the current incidence rate was 7.0%. Surgical incision was the main site of nosocomial infection. Trauma and malnutrition were the main risk factors of nosocomial infection. Drug use was 38.7%. Conclusion The prevalence rate of hospital infection in 3 wards in orthopedics was strictly trained and the results were reliable. It is necessary to strengthen the monitoring of traumatic patients, malnutrition patients and daily risk factors, strengthen the management of wounds in severe traumatic patients and environmental management, strictly sterilized Technical operation, control of hospital infection.