本文關(guān)鍵詞：婦產(chǎn)科術(shù)后醫(yī)院感染相關(guān)危險(xiǎn)因素分析及對策，由筆耕文化傳播整理發(fā)布。

婦產(chǎn)科術(shù)后醫(yī)院感染相關(guān)危險(xiǎn)因素分析及對策

Risk factors of nosocomial infections in obstetrics and gynecology wards and the countermeasures

[1] [2] [3] [4]

HU Jing-hui, WANG Xin-yan, JIANG Shan-shan, LI Li-jie （Zhejiang Provincial People＇s Hospital, Hangzhou, Zhejiang 310014, China）

浙江省人民醫(yī)院婦科,浙江杭州310014

文章摘要：目的探討婦產(chǎn)科患者發(fā)生術(shù)后醫(yī)院感染的危險(xiǎn)因素和相關(guān)對策,為控制和預(yù)防感染提供科學(xué)依據(jù)。方法收集2009年1月-2011年12月在婦產(chǎn)科行手術(shù)治療的786例患者的臨床資料,觀察醫(yī)院感染發(fā)生情況,對感染相關(guān)危險(xiǎn)因素行單因素分析后進(jìn)入logistic多因素回歸分析。結(jié)果 786例患者中發(fā)生醫(yī)院感染43例,感染率5.47%,感染部位以泌尿道為主,占27.91%,其次為腹部切口、陰道、呼吸道、皮膚黏膜,分別占23.26%、16.28%、13.95%、11.63%;單因素分析發(fā)現(xiàn)醫(yī)院感染與年齡、手術(shù)時(shí)間、合并基礎(chǔ)疾病、侵入性操作、術(shù)后留置導(dǎo)管時(shí)間、手術(shù)方式、預(yù)防性應(yīng)用抗菌藥物等因素有相關(guān)性（P〈0.05）;logistic多因素回歸分析發(fā)現(xiàn)年齡（OR=3.812,P=0.037）、侵入性操作（OR=2.547,P=0.012）、手術(shù)時(shí)間（OR=2.804,P=0.041）和合并基礎(chǔ)疾�。∣R=3.758,P=0.023）是醫(yī)院感染發(fā)生的獨(dú)立危險(xiǎn)因素。結(jié)論婦產(chǎn)科術(shù)后醫(yī)院感染是多因素綜合作用的結(jié)果,其發(fā)生率較高,應(yīng)根據(jù)相應(yīng)的情況,采取有針對性的診療措施,密切監(jiān)測高齡患者,減少侵入性操作,嚴(yán)格無菌操作,預(yù)防和降低醫(yī)院感染的發(fā)生。

Abstr：OBJECTIVE To analyze the risk factors for nosocomial infections after gynecological surgery so as to provide basis for the control and prevention of postoperative infections after the gynecological surgery. METHODS The clinical data of 786 patients who underwent the gynecological surgery in the hospital from Jan 2009 to Dec 2011 were retrospectively analyzed. The possible risk factors associated with the nosocomial infections were firstly analyzed with univariate analysis and then were analyzed with multiple logistic regression method. RESULTS Among 786 patients who underwent gynecological surgery, the nosocomial infections occurred in 43 cases with the infection rate of 5.47% ; the urinary tract was the main infection site, accounting for 27.91%, followed by the surgical incision （23. 26 %）, vagina （ 16. 28 %）, respiratory tract （ 13. 95 %）, and skin and mucous membrane （11.63 %）. The univariate analysis showed that the nosocomial infections after gynecological surgery were closely associated with the age, invasive manipulation, operation duration, underlying diseases, indwelling catheter, surgical method, and prophylactic use of antibiotics; logistic regression analysis indicated that the age （OR = 3. 812,P=0. 037） ,invasive manipulation （OR=2. 547,P=0. 012） ,operation duration（OR= 2. 804, P=0. 041） and underlying diseases （OR= 3. 758 ,P= 0. 023） were the independent risk factors for the nosocomial infections. CONCLUSION The incidence of hospital infections after the gynecological surgery is high and is influenced by many factors, the elderly patients should closely monitored to lessen the invasive operation, and the strict disinfection and isolation as well as the appropriate preventive measures can contribute

文章關(guān)鍵詞：

Keyword：:Department of obstetrics and gynecology Nosocomial infection Risk factor

  本文關(guān)鍵詞：婦產(chǎn)科術(shù)后醫(yī)院感染相關(guān)危險(xiǎn)因素分析及對策，，由筆耕文化傳播整理發(fā)布。