心内科住院患者医院感染相关因素分析及预防治疗对策

目的 分析心内科住院患者医院感染的相关因素,探讨预防治疗心内科住院患者医院感染的对策.方法 对医院心内科2008年11月—2009年11月所发生的77例医院感染住院患者的诊治资料进行回顾性分析,并与同期心内科389例未发生感染的住院患者诊治资料进行对比,总结医院感染相关因素,并探讨其预防治疗对策.结果 经对比分析,感染患者与未感染患者的平均年龄为(60,4±12.5)、(51.3±16.1)岁,平均住院时间为(19.2±2.7)、(14.6±3.1)d,人均抗菌药物使用(4.8±2.3),(2.9±1.9)例次,平均实施(7,6±2.5)、(5.2±3.1)例次侵入性操作,单间病房使用率为11.3％、19.4％,责任护士年资＞5年占27.8％、68.3％,上述因素为医院感染相关因素,差异均有统计学意义(P＜0.05).结论 高龄、住院时间长、病房环境差、过量频繁使用抗菌药物、护理时防污染措施不到位等与心内科住院患者医院感染直接相关;临床在对心内科患者进行治疗及护理时,应加强医院感染控制管理,做好病房环境控制,尽量降低心内科住院患者医院感染发生率.

Related factors for hospital infections in patients of department of cardiology and prevention strategies

OBJECTIVE To analyze the related factors for hospital infections in cardiology inpatients,and explore the prevention strategies for hospital infections in cardiology inpatients.METHODS The diagnosis and treatment data for 77 cases of cardiology hospitalized patients from Nov 2008 to Nov 2009 were retrospectively analyzed and compared with the clinical data of 389 cases of cardiology patients without infections at the same period,the related factors for hospital infections in cardiology inpatients were summarized,the prevention strategies were explored.RESULTS The comparative analysis showed that the mean age of the patients with infections and the patients without infections were(60.4±12.5) and(51.3±16.10) years of age,the mean hospitalization duration was(19.2±2.7d) and(14.6±3.1)d,the per capita use of antibiotics was(4.8±2.3) and(2.9±1.9) case-time,the average time of invasive procedures was(7.6±2.5) and(5.2±3.1) case-time,the application rates of single ward were 11.3% and 19.4%,the nurses with more than 5 years of service accounted for 27.8% and 68.3%,the factors mentioned above were related to nosocomial infections(P<0.05).CONCLUSION The advanced age,long hospital stay,poor ward environment,overuse of antibiotics,and anti-pollution measures without performing in place are directly related to nosocomial infections of cardiology patients;as the treatment and nursing are carried out for the cardiology patients,it is necessary to intensify the control of nosocomial infections and make a good control of ward environment so as to minimize the incidence of nosocomial infections in patients in department of cardiology.