【摘要】：目的探討感控專職小組對婦產(chǎn)科患者手術(shù)部位感染的影響。方法將2014年7月-2015年12月為感控專職小組實施階段,醫(yī)院婦產(chǎn)科共收治4568例手術(shù)患者為干預(yù)組,2013年1月-2014年6月為感控專職小組未實施階段,醫(yī)院婦產(chǎn)科共收治3982例手術(shù)患者為對照組,統(tǒng)計兩組發(fā)生醫(yī)院感染情況,并對發(fā)生醫(yī)院感染患者分別取樣進行菌株鑒定,感控專職小組實施前后,對比分析消毒隔離質(zhì)量和醫(yī)院感染管理質(zhì)量。結(jié)果干預(yù)組4568例手術(shù)患者共發(fā)生手術(shù)部位感染46例,感染率為1.01%,對照組3982例手術(shù)患者共發(fā)生手術(shù)部位感染154例,感染率為3.87%,干預(yù)組患者手術(shù)部位感染率顯著低于對照組,差異有統(tǒng)計學意義(P0.05);對照組感染患者共檢出176株病原菌,其中革蘭陰性菌114株占64.77%,革蘭陽性菌36株占20.45%,真菌26株占14.77%,干預(yù)組感染患者共檢出62株病原菌,其中革蘭陰性菌42株占67.74%,革蘭陽性菌12株占19.35%,真菌8株占12.90%;干預(yù)組醫(yī)務(wù)人員管理、工作環(huán)境管理、醫(yī)療器械及用品管理和消毒隔離總質(zhì)量月平均問題數(shù)顯著降低,月平均分數(shù)顯著上升,差異有統(tǒng)計學意義(P0.05);醫(yī)護人員手衛(wèi)生依從性、手衛(wèi)生知識知曉、醫(yī)院感染知識知曉、環(huán)境衛(wèi)生抽查監(jiān)測、抗菌藥物合理使用和無菌操作合格率均顯著提高,差異有統(tǒng)計學意義(P0.05)。結(jié)論感控專職小組有助于提高消毒隔離質(zhì)量和醫(yī)院感染管理質(zhì)量,從而降低婦產(chǎn)科手術(shù)部位感染率。
[Abstract]:Objective to investigate the effect of sensory control group on surgical site infection in patients with gynecology and obstetrics. Methods from July 2014 to December 2015, a total of 4568 surgical patients were treated as intervention group, and from January 2013 to June 2014, 4568 patients were treated as intervention group, and the whole group was not implemented from January 2013 to June 2014. A total of 3982 surgical patients were admitted to the hospital as the control group. The nosocomial infection in the two groups was counted, and the strains of the nosocomial infection patients were sampled and identified before and after the implementation of the full-time group. The quality of disinfection isolation and nosocomial infection management were compared and analyzed. Results there were 46 cases of surgical site infection in 4568 patients in the intervention group and 3982 cases in the control group. The infection rate was 3.87%. The infection rate of surgical site in the intervention group was significantly lower than that in the control group (P0.05). In the control group, 176 strains of pathogenic bacteria were detected, of which 114 were Gram-negative bacteria (64.77g), 36 Gram-positive bacteria (20.45m), 26 fungi (14.77cm), and 62 pathogenic bacteria were detected in the intervention group. Among them, 42 strains of Gram-negative bacteria accounted for 67.74%, 12 strains of Gram-positive bacteria accounted for 19.35%, and 8 strains of fungi accounted for 12.90%. In the intervention group, the number of medical staff management, the working environment management, the management of medical devices and supplies and the total quality of disinfection and isolation decreased significantly, and the monthly average score increased significantly (P0.05). The compliance of hand hygiene, knowledge of nosocomial infection, monitoring of environmental hygiene, rational use of antimicrobial agents and aseptic operation were significantly improved (P0.05). Conclusion the full-time group is helpful to improve the quality of disinfection isolation and hospital infection management and to reduce the infection rate of gynecology and obstetrics operation.
【作者單位】： 海南現(xiàn)代婦女兒童醫(yī)院婦產(chǎn)科;海南省瓊海市人民醫(yī)院婦產(chǎn)科;
【分類號】：R473.71

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