麻醉恢復室護理工作交叉感染的控制與預防
發(fā)布時間:2018-01-14 06:05
本文關鍵詞:麻醉恢復室護理工作交叉感染的控制與預防 出處:《中華醫(yī)院感染學雜志》2017年05期 論文類型:期刊論文
【摘要】:目的以麻醉恢復室護理管理,分析其護理工作中醫(yī)院感染類型、分布特點及原因,并從護理角度提出預防和控制措施。方法回顧性分析2014年5月-2016年4月在醫(yī)院接受手術麻醉10 000例患者臨床資料,對麻醉后恢復室護理期間發(fā)生醫(yī)院感染患者感染特點、類型及原因等進行總結分析,對誘發(fā)麻醉恢復室醫(yī)院感染的危險因素進行多元回歸分析,并提出預防和控制對策。結果數(shù)字雙盲法抽取PACU患者10 000例醫(yī)院感染率4.1‰,其中以呼吸道感染和泌尿感染最多,分別31.7%和24.4%;年齡越低和年齡越高,PACU患者醫(yī)院感染率越高,對比差異顯著;PACU停留時間越長,醫(yī)院感染率越高;護理人員執(zhí)行PACU無菌操作不到位、PACU消毒隔離不嚴格是誘發(fā)醫(yī)院感染的主要因素,分別到34.2%和29.3%。結論麻醉恢復室由于其特殊性容易發(fā)生醫(yī)院感染,與消毒措施不到位、無菌操作不規(guī)范等有關。強化醫(yī)院感染的認知,規(guī)范消毒隔離,切斷傳染途徑,是解決麻醉恢復室醫(yī)院感染的有效措施。為PACU針對性預防和控制醫(yī)院感染提供借鑒。
[Abstract]:Objective to analyze the types, distribution and causes of nosocomial infection in anesthetic recovery room. Methods the clinical data of 10 000 patients undergoing surgical anesthesia from May 2014 to April 2016 were analyzed retrospectively. The characteristics, types and causes of nosocomial infection in patients with nosocomial infection during nursing care after anesthesia recovery were summarized and analyzed. The risk factors of nosocomial infection induced by anesthesia recovery were analyzed by multivariate regression analysis. Results the nosocomial infection rate of 10 000 patients with PACU was extracted by digital double blind method and the nosocomial infection rate was 4.1 鈥,
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