58例内镜逆行胰胆管造影术患者医院感染特点及护理

目的分析内镜逆行胰胆管造影术（endoscopic retrograde cholangiopancreatography，ERCP）患者医院感染的特点及护理对策。方法随机抽取2011年l至12月ERCP发生医院感染58例患者的病例，对其数据进行统计分析，同时对护理相关问题进行讨论。结果ERCP患者发生医院感染率为12．1％（58／479），同期住普通病房患者医院感染率为4．4％（36／812），前者住院感染率明显高于后者（P〈0．05）。无论ERCP患者还是普通病房患者，呼吸道和泌尿道感染均是医院感染最常发生的部位，ERCP医院感染主要发生在呼吸道（67．2％），其次是泌尿道（29．3％），其构成比与普通病房接近。ERCP患者医院感染患者58例中死亡5例（8．6％），高于普通病房的5．6％（2／36，P〈0．05）。结论ERCP患者医院感染率明显高于普通病房，感染部位主要是呼吸道和泌尿道，预防ERCP患者医院感染是防治工作重点，有效的护理措施可以降低ERCP患者医院感染发生率。

Features and nursing strategies of 58 patients with nosocomial infection by ERCP

Objective To analyze the features and nursing strategies of patients with nosocomial infection by ERCP. Methods 58 patients with nosocomial infection from January 2011 to December 2011 were investigated, and the clinical data were performed statistical analysis. The nursing relevant questions were also discussed. Results ERCP patients with nosocomial infection rate was 12.1% （58/479）, the infection rate of patients in general wards was 4.4% （36/812） , the former nosocomial infection rates were significantly higher than the latter （ P 〈 0.05 ）. Both patients in ERCP and general ward, respiratory tract and urinary tract infections were the most common nosocomial infection, ERCP nosocomial infection occurred in respiratory tract （67.2%）, urinary tract followed by 29.3% , the proportion of composition was close to the general wards. 5 deaths in 58 patients with ERCP nosocomial infection, mortality was 8.6% , 5.6% higher than the general wards （P 〈 0.05 ）. Conclusion The results suggest that rate of ERCP patient＇ s nosocomial infection was significantly higher than that in the general wards, and the most common infection sites were respiratory tract and urinary tract. The hospital infection prevention and control priorities for ERCP patient are very important. Effective interventions can reduce the incidence of nosocomial infection in patients with ERCP.