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目的:分析急诊科重症患者院内感染的危险因素并探讨其防范管理措施。方法:回顾分析医院急诊科重症患者208例,对其相关因素进行单因素分析并建立多因素非条件Logistic回归模型分析其感染危险因素,并据此采取相应措施。结果:入选208例患者中,发生院内感染24例,占11.54%,经多因素非条件Logistic回归模型分析表明,患者年龄、气管切开或插管、深静脉导管留置史、导尿管留置史、抗菌药物使用及病变部位多为发生院内感染的独立危险因素(P<0.05)。结论:加强急诊工作环境清洁消毒、提高医护人员手卫生依从性、严格遵守急救器械清洗消毒制度等措施是预防急诊科重症患者发生院内感染的关键所在。
Objective: To analyze the risk factors of nosocomial infections in critically ill patients in emergency department and to explore the preventive measures. Methods: A retrospective analysis of 208 cases of critical patients in emergency department of the hospital, univariate analysis of its related factors and the establishment of multivariate non-conditional Logistic regression model analysis of risk factors for infection, and accordingly take appropriate measures. Results: Totally 208 cases were infected with nosocomial infections in 24 cases (11.54%). The multivariate non-conditional logistic regression analysis showed that the age, tracheostomy or catheterization, catheterization of deep vein, catheterization , Antimicrobial agents and lesions were mostly independent risk factors for nosocomial infection (P <0.05). Conclusion: The key to prevent nosocomial infections in emergency departments is to strengthen measures such as cleaning and disinfection in emergency work environment, improving hand hygiene compliance of medical staff, and strict compliance with first aid cleaning and disinfection system.