医院感染相关医疗纠纷的感染因素研究

目的调查医院感染相关性医疗纠纷的感染因素，为控制医院感染，降低医院感染相关性医疗纠纷提供依据。方法对2006年6月-2011年6月发生的37例医院感染相关性医疗纠纷病例进行回顾性调查，分析原因及医院感染相关因素。结果术后切口感染、术后并发症、抗菌药物不合理应用、医疗费用增加是引发纠纷的主要原因；年龄≥60岁或≤1岁、恶性肿瘤、人工置管时间过长、手术时间≥3h、不合理使用抗菌药物等是其感染相关因素。结论强化对医院感染潜在危险因素的防范．严格遵守各项诊疗操作规程，合理应用抗菌药物．才能减少医院感染及医疗纠纷的发生。

The research of infection factors of hospital infection-related medical disputes

Objective To provide a basis for control hospital infection and decreased the occurrence of medical disputes by surveying the infection factors of hospital infection-related medical disputes.Methods The 37 cases of hospital infection-related medical disputes were surveyed by analyzing the causes and related infection factors from June 2006 to June 2011.Results Postoperative wound infection,postoperative complications,unreasonable application of antibiotics,increased medi-cal costs were the main reasons of medical disputes;over the age of 60 or less than 1 year old,malignant tumor,overlong artificial tube time,more than 3 hours’operation time,irrational use of antibiotics were the related infection factors.Con-clusion By strengthening the guard against the potential risk factors of hospital infection,obeying all kinds of diagnostic regulations strictly and making the correct use of antibiotics,the occurrence of hospital infection and medical disputes can be reduced.