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目的探讨引起口腔疾病患者门诊医院感染的危险因素,为口腔疾病患者门诊医院感染的防治提供参考。方法收集2016年6月-12月因口腔疾病在医院门诊就诊的658例患者临床资料,调查医院感染率并分析引起医院感染的相关因素。结果 658例患者发生医院感染51例,感染率为7.75%,感染部位以口腔黏膜30例为主,占58.82%;单因素分析,不同性别、不同诊疗措施治疗患者感染率比较差异无统计学意义,患者年龄≥60岁、合并糖尿病、就诊>5次、使用非一次性医疗器械、患者就诊日门诊量>100人次/d、诊治医生资质为医士及医师为门诊医院感染的危险因素,Logistic回归分析显示合并糖尿病、就诊次数多、患者就诊日门诊量大是引起口腔疾病患者发生门诊医院感染的独立危险因素(P<0.05)。结论引起口腔疾病患者发生门诊医院感染的危险因素较多,应通过控制血糖、减少门诊量等措施来降低医院感染的发生。
Objective To explore the risk factors of outpatient nosocomial infections in patients with oral diseases and provide references for prevention and treatment of outpatient nosocomial infections in oral diseases. Methods The clinical data of 658 patients with oral diseases in the outpatient department of the hospital from June to December in 2016 were collected to investigate the prevalence of nosocomial infections and to analyze the related factors causing nosocomial infections. Results Among the 658 patients, 51 cases were nosocomial infection, the infection rate was 7.75%, and the infection site was mainly oral mucosa (58.82%). Univariate analysis showed that there was no significant difference in the infection rates among different sexes and different treatment measures , Patients aged ≥ 60 years, with diabetes, treatment> 5 times, the use of non-disposable medical devices, patient outpatient visits on the day more than 100 people / d, diagnosis and treatment of doctors qualified physicians and physicians for outpatient hospital infection risk factors, Logistic regression Analysis showed that the combination of diabetes, the number of visits, patient outpatient visits on a large number of patients with oral diseases caused by outpatient hospital infection was an independent risk factor (P <0.05). Conclusion There are many risk factors for outpatient nosocomial infection in patients with oral diseases, and the incidence of nosocomial infections should be reduced by controlling blood sugar and reducing the outpatient volume.