本文選題：前饋控制　切入點(diǎn)：婦產(chǎn)科患者　出處：《中華醫(yī)院感染學(xué)雜志》2017年17期

【摘要】：目的探究前饋控制對(duì)婦產(chǎn)科患者手術(shù)部位感染的影響。方法選取醫(yī)院2015年3月-2016年3月(前饋控制實(shí)施后)收治的行子宮切除術(shù)患者70例為研究組,對(duì)患者行前饋控制,另選2014年3月-2015年3月(前饋控制實(shí)施前)62例行子宮切除患者為對(duì)照組;對(duì)所有患者醫(yī)院感染分布、手術(shù)部位感染情況、抗菌藥物使用情況以及病原微生物標(biāo)本的送檢情況、手術(shù)中抗菌藥物追加使用情況、病原菌檢出情況進(jìn)行分析。結(jié)果所有患者發(fā)生醫(yī)院感染共13例,醫(yī)院感染以手術(shù)部位感染為主,占76.92%,其他部位感染較少,差異有統(tǒng)計(jì)學(xué)意義(P0.05);研究組手術(shù)部位感染率為4.29%低于對(duì)照組11.29%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);研究組抗菌藥物使用率和病原微生物標(biāo)本送檢率分別為(54.29%、64.29%)與對(duì)照組(85.48%、32.26%)比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);研究組抗菌藥物追加使用率為36.00%,明顯低于對(duì)照組71.43%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);10例手術(shù)部位感染患者的臨床標(biāo)本共檢出7株病原菌,其中糞腸球菌3株占42.86%;大腸埃希菌2株占28.57%;金黃色葡萄球菌1株占14.29%;肺炎克雷伯菌1株占14.29%。結(jié)論前饋控制對(duì)婦產(chǎn)科患者手術(shù)部位感染能夠發(fā)揮很好的控制作用,可有效降低婦產(chǎn)科患者手術(shù)部位感染率。
[Abstract]:Objective to investigate the effect of feedforward control on surgical site infection in patients with gynecology and obstetrics.Methods 70 patients treated with hysterectomy from March 2015 to March 2016 (after feedforward control) were selected as the study group, and the patients were treated with feedforward control.In addition, from March 2014 to March 2015, 62 patients with hysterectomy were selected as the control group. The distribution of nosocomial infection, the infection of surgical site, the use of antimicrobial agents and the examination of pathogenic microorganism samples were collected from all patients.The usage of antimicrobial agents and the detection of pathogenic bacteria were analyzed.Results there were 13 cases of nosocomial infection in all patients. The nosocomial infection was mainly caused by surgical site infection (76.92%).The infection rate of the operative site in the study group was 4.29% lower than that in the control group (11.29%), the difference was statistically significant (P 0.05); the utilization rate of antimicrobial agents in the study group was 54.29% and the examination rate of the pathogenic microorganism specimen was 64.29%, respectively) compared with that in the control group (85.48% 32.26).There was a significant difference between the two groups (P 0.05), and the additional utilization rate of antimicrobial agents in the study group was 36.00, which was significantly lower than that in the control group (71.43). The difference was statistically significant (P 0.05).Among them, 3 strains of Enterococcus faecalis accounted for 42.86%, 2 strains of Escherichia coli accounted for 28.57%, 1 strain of Staphylococcus aureus accounted for 14.29%, and 1 strain of Klebsiella pneumoniae accounted for 14.29%.Conclusion Feedforward control can play a good role in controlling surgical site infection in patients with gynecology and obstetrics, and can effectively reduce the infection rate of surgical sites in patients with gynecology and obstetrics.
【作者單位】： 海南西部中心醫(yī)院手術(shù)室;海南西部中心醫(yī)院婦產(chǎn)科;
【基金】：海南省醫(yī)學(xué)科研基金資助項(xiàng)目(瓊衛(wèi)科教2013-6)
【分類號(hào)】：R197.323;R71

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