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目的探讨骨科植入术后患者医院感染临床特征及实施流程化管理的控制作用,为降低医院感染率提供借鉴。方法将2014年1月-2015年6月在医院手术室行骨科植入物手术的560例患者随机分为管理组280例和对照组280例,对照组采用常规管理制度,管理组在对照组基础上实施流程化管理;比较两组患者术后医院感染率及病原菌分布,数据采用SPSS19.0软件进行统计分析。结果 560例患者共计9例发生医院感染,医院感染率1.6%,管理组感染1例感染率为0.4%、对照组8例为2.9%,管理组医院感染率显著低于对照组,差异有统计学意义(P<0.05);共分离出17株病原菌,以革兰阳性菌为主,共9株占52.9%。结论骨科植术后医院感染病原菌主要为革兰阳性菌,优化手术室管理能够降低医院感染率,提升感染管理质量。
Objective To investigate the clinical characteristics of patients with nosocomial infection after orthopedic surgery and the control effect of the implementation of process management, so as to provide reference for reducing the hospital infection rate. Methods From January 2014 to June 2015, 560 patients who underwent orthopedic implant surgery in the hospital operating room were randomly divided into the management group (280 cases) and the control group (280 cases). The control group received the conventional management system. The control group Based on the implementation of process management; comparison of postoperative hospital infection rates and pathogenic bacteria distribution between the two groups, the data were analyzed by SPSS19.0 software. Results A total of 560 patients had nosocomial infections in 9 cases, with nosocomial infection rate of 1.6%, infection rate of 1 case in management group being 0.4% and control group of 8 patients (2.9%). The nosocomial infection rate in the management group was significantly lower than that in the control group (P <0.05). Seventeen pathogens were isolated, mainly Gram-positive bacteria, accounting for 52.9%. Conclusion The main pathogen of nosocomial infection after orthopedic surgery is Gram-positive bacteria. Optimizing operating room management can reduce the hospital infection rate and improve the quality of infection management.