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目的探讨麻醉科发生医院感染的临床特点及预防控制对策,为早期预防和控制麻醉科医院感染提供科学依据。方法对2012年12月-2014年3月行麻醉手术的1 259例患者发生医院感染临床资料进行回顾性分析,探讨麻醉科医院感染的临床特点及危险因素,并总结预防控制措施。结果 1 259例行麻醉手术患者发生医院感染72例,感染率为5.72%;其感染率最高的疾病为恶性肿瘤29例占40.28%,其次为消化系统疾病22例占30.56%、循环系统疾病15例占20.83%;医院感染部位主要为呼吸道感染25例占34.72%、手术部位感染19例占26.39%、泌尿道感染11例占15.27%;年龄、合并基础疾病、存在意识障碍、有侵入性操作、预防性应用抗菌药物、手术切口分类、手术时机、手术时间与医院感染相关。结论针对麻醉科医院感染的危险因素,采取综合性的干预措施,可有效预防和控制医院感染的发生。
Objective To investigate the clinical characteristics and prevention and control measures of nosocomial infection in anesthesia department and provide a scientific basis for the prevention and control of nosocomial infection in the early stage. Methods The clinical data of 1 259 hospitalized patients who underwent anesthesia during December 2012 to March 2014 were analyzed retrospectively to investigate the clinical features and risk factors of hospitalized patients with anesthesia and to summarize the prevention and control measures. Results 1 259 cases of nosocomial anesthesia occurred in 72 cases of hospital infection, the infection rate was 5.72%; the highest infection rate of malignant tumors in 29 cases accounted for 40.28%, followed by digestive system diseases in 22 cases accounted for 30.56%, circulatory diseases 15 Cases accounted for 20.83%; hospital infection was mainly respiratory tract infection in 25 cases accounted for 34.72%, surgical site infection in 19 cases accounted for 26.39%, urinary tract infection in 11 cases accounted for 15.27%; age, with underlying diseases, the existence of unconsciousness, invasive operation , Prophylactic use of antibiotics, surgical incision classification, timing of surgery, and operative time associated with nosocomial infections. Conclusion Anesthesia hospital infection risk factors, take comprehensive interventions, which can effectively prevent and control the occurrence of nosocomial infections.