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康复科住院患者医院感染因素分析及对策

     

摘要

AIM: To study the hospital infection factors and corresponding preventive measures of patients in the department of rehabilitation, to effectively reduce the incidence of hospital infection. METHODS: By a retrospective investigation method, the primary disease, hospitalization time, invasive operation, basic diseases and other data of 464 patients admitted into the rehabilitation department from September 2013 to July 2014 were statistically analysized. RESULTS: Among the 464 patients, 68 cases of hospital infection occurred, with the infection rate being 14.60%, including 6 cases occurring different parts of the hospital infection during hospitalization, and there were 74 infection cases, with the infection rate of 15.95%. The main parts of the hospital faction were respiratory tract and urinary tract, and the infection rate were 54. 05% and 35. 14% respectively. And age, basic diseases, more invasive operation, and longer hospitalization are major risk factors for hospital infection. CON⁃CLUSION:The patients in the department of rehabilitation are the high⁃risk groups for hospital infection, thus forcefully monitoring the hospital infection, promptly finding the risk factors of hospital infection as well as supplying targeted and effective preventive measures can effectively reduce the incidence of hospitalinfection.%目的:探讨康复科患者医院感染因素及其针对性预防措施,从而有效降低医院感染发生率.方法:采用回顾性调查方法对2013⁃09/2014⁃07康复科收治的464例患者的原发病、住院时间、侵入性操作、基础疾病等资料进行统计分析.结果:464例患者发生医院感染68例,感染率14.60%,其中有6例患者在住院期间发生两次不同部位的医院感染,感染74例次,例次率为15.95%.医院感染的主要部位为呼吸道和泌尿道,感染率分别为54.05%和35.14%.年龄偏高、基础疾病多、接受过侵入性操作、住院时间较长是发生医院感染的主要危险因素.结论:康复科患者是医院感染的高危人群,加强医院感染监测,及时发现医院感染危险因素,采取针对性有效预防措施,能有效降低医院感染发病率.

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