文献类型：期刊文献

中文题名：泌尿外科住院患者医院感染的诱因分析

英文题名：Analysis of incentives to nosocomial infections in patients of urology department

作者：刘铸[1]

机构：[1]绍兴文理学院附属医院泌尿外科

年份：2013

卷号：23

期号：4

起止页码：820

中文期刊名：中华医院感染学杂志

外文期刊名：Chinese Journal of Nosocomiology

收录：CSTPCD、、北大核心2011、北大核心、CSCD、CSCD2013_2014

语种：中文

中文关键词：泌尿外科;住院患者;医院感染;诱因

外文关键词：Urology department; Hospitalized patient; Nosocomial infection; Incentive

中文摘要：目的了解医院泌尿外科住院患者的医院感染发生率、病原学分布及其主要诱因,寻找有效预防与控制泌尿外科医院感染的方法,以降低医院感染率。方法对收治的1127例住院患者病历资料进行回顾性调查分析,调查患者的一般资料、感染部位构成、病原菌检查结果等,并分析导致医院感染的诱因。结果 1127例住院患者中医院感染51例,医院感染率为4.52%,其中医院感染中老年患者、术前使用过抗菌药物、住院>14d、导尿>3d、合并高血压及糖尿病的分别占56.86%、86.27%、80.39%、88.24%、35.29%及43.14%;感染部位主要以泌尿道、手术切口、呼吸道为主,分别占35.29%、25.49%、21.57%;病原菌分布主要以大肠埃希菌、粪肠球菌、铜绿假单胞菌、凝固酶阴性葡萄球菌与肺炎克雷伯菌为主,分别占21.57%、17.65%、15.69%、11.76%与11.76%;患者的住院、导尿天数是发生医院感染的主要诱因。结论泌尿外科承担医院感染预防控制的重要部分,泌尿外科临床人员应严格执行相关操作规程,采取有效措施降低医院感染的发生率。

外文摘要：OBJECTIVE To understand the incidence of nosocomial infections,etiological distribution,and the major incentives for the hospitalized patients of the urology department so as to find an effective way to prevent and control the nosocomial infections and to reduce the incidence of nosocomial infections.METHODS The clinical data of 1127 cases of hospitalized patients of the hospital were retrospectively analyzed.The general information,infection sites,and pathological examination results of the patients were investigated,and the predisposing factors for the nosocomial infections were analyzed.RESULTS Totally 51 patients with nosocomial infections were diagnosed in the 1127 cases,accounting for 4.52 %.Among the patients with nosocomial infections,the elderly patients accounted for 56.86%,86.27% of the cases used antibacterial drugs before the surgery,the patients with the hospital stay more than 14 days accounted for 80.39%,the patients who received the catheterization more than 3 days accounted for 88.24%,the patients complicated with hypertension accounted for 35.29%,and the patients complicated with diabetes accounted for 43.14%.The urinary tract,surgical incision,and respiratory tract were dominant in the infection sites,accounting for 35.29%,25.49%,and 21.57%,respectively.The Escherichia coli,Streptococcus faecalis,Pseudomonas Aeromonas bacteria,coagulase-negative Staphylococci and Klebsiella pneumoniae were the main species of pathogens,accounting for 21.57%,17.65%,15.69%,and 11.76%,respectively.The hospital stay and the catheterization were the main predisposing factors for the nosocomial infections.CONCLUSION Urology department plays an important part in the prevention and control of nosocomial infections.The urology clinical staff should strictly implement the relevant operation procedures,and take effective measures to reduce the incidence of nosocomial infections.