介入术后不良反应流行病学调查分析与控制

目的 探讨介入术后患者不良反应流行原因与干预控制措施,总结经验,以减少类似流行发病情况的发生.方法 采用前瞻性动态追踪调查与回顾性总结相结合的方法,对2009年3～6月期间介入中心患者术后陆续发生不良反应的趋势分别进行流行病学追踪调查和消毒灭菌及环境卫生学监测,并采取干预措施,有效控制流行发病趋势.结果 2009年3～6月介入术后不良反应发生率分别为9.39%、9.66%、9.52%、5.39%,平均发生率为8.41%;3～6月消毒灭菌及环境卫生学监测总检件数84件,在无菌物品监测中,检出一次性血管造影包内阳性物品3件,阳性率占总检件数的3.57%.6月份使用一次性血管造影包进行介入手术,不良

The analysis and control of epidemiological investigation of adverse reactions after intervention

Objective To explore the prevalent reason of adverse reactions after intervention and intervention and control measure,summarize the experience,in order to reduce the occurrence of epidemic like this.Methods The method of combining forward-looking dynamic follow-up investigation with retrospective summary was used,epidemiological follow-up investigating the trend of adverse reactions after intervention and sterilizing and Environmental Health Monitoring during the March 2009 to June 2009,and take intervention measure,control the trend of epidemic disease effectively.Results The incidence of adverse reactions after intervention from March2009 to June 2009 were respectively 9.39%,9.66%,9.52%,5.39%,the mean incidence was 8.41%;the total number of sterilizing and Environmental Health Monitoring from March to June is 84,there are three positive packages have been detected in one-time angiography packages in Monitoring in sterile,the positive rate is account for 3.57% in total number of detected packages.One-time angiography packages are used to intervention surgery in June,the incidence of adverse reaction is 14.28%,if we have intervention surgery with high-pressure steam sterilization surgical intervention packages,the incidence of adverse reaction is 0.75%,there was a significant difference between them(P<0.01).We only used high-pressure steam sterilization surgical intervention packages in July,the adverse reaction didn′t happened any more.Conclusion the main reason that caused the adverse reaction happening is one-time angiography packages;Continuous dynamic epidemiological follow-up investigation and disinfection and environmental hygiene monitoring is an effective way to search and discover the reason of adverse reaction.Using high-pressure steam sterilization surgical intervention packages is an effective measure to control adverse reaction after intervention.