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急诊科医院感染相关因素分析与管理对策

Analysis and Countermeasures for the Management of Infection Related Factors in Hospital Emergency Department
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摘要 目的探讨分析急诊科医院感染的相关影响因素,总结有效的管理措施。方法随机选取该院急诊科收治的720例患者为研究对象,统计医院感染所有病例,分析医院感染的相关影响因素,并提出针对性的管理对策。结果该次调查中出现医院感染者77例,医院感染率为10.7%,其中泌尿生殖道、下呼吸道是较为常见的感染部位;革兰阴性菌是常见病原菌,占到61.4%,革兰阴性菌占到38.6%;不同性别之间医院感染率差异无统计学意义(P>0.05),而年龄在60岁以上者、使用2种以上抗菌药物者、住院时间超过1周者、存在侵入性操作者是导致医院感染的高危因素。结论医院急诊科室病房环境较为特殊,多数患者属于急危重症,存在较多的医院感染危险因素,医院应严格遵循无菌原则,做好消毒措施,预防并减少医院感染发生。 Objective To investigate the effects of related factors on infection in hospital emergency departments, summed up the effective management measures. Method Randomly selected 720 patients admitted to the emergency department of our hospital patients as the object of study, all cases of infection in hospital statistics, related factors analysis of nosocomial infection, and proposes targeted management strategies.Result 77 cases of hospital infection in this investigation, the hospital infection rate was 10.7%, among which the genitourinary tract, lower respiratory tract infection site is more common; gram negative bacteria are common pathogens,accounted for 61.4%, gram negative bacteria accounted for 38.6%; the hospital infection rate between different gender and no significant difference (P〉0.05), and above the age of 60, using 2 or more kinds of antibiotics, hospitalization over 1 weeks, the existence of invasive operator is the risk factors of hospital infection.Conclusion The environment of ward hospital emergency department is more special, most of the patients belong to severe infection, There are many hospital infection risk factors, the hospital should strictly follow the aseptic principles,good disinfection measures,to prevent and reduce the incidence of nosocomial infection.
作者 马云麟
机构地区 云南昆钢医院
出处 《中国卫生产业》 2015年第6期101-102,共2页 China Health Industry
关键词 医院感染 急诊科 相关因素 管理对策 Hospital infection Emergency department Related factors Management countermeasures
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