医院科室内设非洁净手术室医院感染监测与规范化管理
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摘要
目的对医院科室内设非洁净手术室实施医院感染规范化管理和监测,分析规范化管理前后手术部位感染率及微生物学监测结果,从而提高科室内设非洁净手术室医院感染管理水平,降低医院感染率.方法收集2010年6月至2014年6月在昆明医科大学第一附属医院非洁净手术室内接受手术患者的感染发生率及非洁净手术室的微生物监测.自2012年6月起对非洁净手术室实施标准化管理.比较实施规范化管理前后非洁净手术室微生物学监测合格率及接受手术患者的感染发生率.结果实施规范化管理前在非洁净手术室有3 633例患者接受手术,实施规范化管理后在非洁净手术室接受手术的患者为4 434例,实施管理前后的感染发生率分别为5.78%和3.51%,2组比较差异有统计学意义(P<0.05);规范化管理前后各项微生物学监测结果,差异均有统计学意义(P<0.05).结论规范化的医院感染管理和监测可降低医院感染率,是医疗机构非洁净手术室预防控制医院感染的一种切实有效的方法.
Objective The study aimed to perform the standardized management and monitoring of hospital infection in the department with non- clean operating room in hospital,to analyze the surgical site infection rates and the microbiological monitoring results before and after standardized management, in order to improve the hospital infection management level in the department with non- clean operating room and reducie the hospital infection rate.Methods The standardized management was executed in the non- clean operating room since June 2012. The incidence of infection in the surgical site and microbiological monitoring results in the non- clean operating room in the hospital were collected from June 2010 to June 2014, and were compared before and after standardization management. Results There were 3633 and 4434 patients getting surgery in the non- clean operating rooms before and after standard management,respectively. The hospital infection rate was 5.78% and 3.51%, respectively. The difference had statistical significance(P < 0.05). The results of microbiological monitoring showed statistical significance before and after the standardization management(P < 0.05). Conclusion The standardization management of hospital infection and microbiological monitoring can reduce the hospital infection rates. It is an effective method for medical institutions to prevent and control the nosocomial infection in the non- clean operating room.
Objective The study aimed to perform the standardized management and monitoring of hospital infection in the department with non- clean operating room in hospital,to analyze the surgical site infection rates and the microbiological monitoring results before and after standardized management, in order to improve the hospital infection management level in the department with non- clean operating room and reducie the hospital infection rate.Methods The standardized management was executed in the non- clean operating room since June 2012. The incidence of infection in the surgical site and microbiological monitoring results in the non- clean operating room in the hospital were collected from June 2010 to June 2014, and were compared before and after standardization management. Results There were 3633 and 4434 patients getting surgery in the non- clean operating rooms before and after standard management,respectively. The hospital infection rate was 5.78% and 3.51%, respectively. The difference had statistical significance(P < 0.05). The results of microbiological monitoring showed statistical significance before and after the standardization management(P < 0.05). Conclusion The standardization management of hospital infection and microbiological monitoring can reduce the hospital infection rates. It is an effective method for medical institutions to prevent and control the nosocomial infection in the non- clean operating room.
引文
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[2]胡国庆,段亚波.医院消毒卫生标准(GB15982-2012)内容解读(二)[J].中国消毒学杂志,2013,30(8):752-757.
[3]卫生部.医院感染诊断标准(试行)[J].中华医学杂志,2001,81(5):314-320.
[4]DE KORNE D F,VAN WIJNGAARDEN J D,VAN ROOIJ J,et al.Safety by design:effects of operating room floor marking on the position of surgical devices to promote clean air flow compliance and minimise infection risks[J].BMJ Qual Saf,2012,21(9):746-752.
[5]徐敏,聂绍发,刘爱萍,等.综合医院外科手术部位感染的监测研究[J].疾病控制杂志,2005,10(4):358-359.
[6]张玲,刘竹.10所医院手术部位感染横断面调查[J].中华医院感染学杂志,2010,20(12):1 672-1 673.
[7]HERMAN D C.Safety of a clean air storage hood for ophthalmic instruments in the operating room[J].Am J Ophthalmol,1995,119(3):350-354.
[8]李金娜,王宁宁,刘芳菲,等.外科手术部位感染危险因素的监测与分析[J].中华医院感染学杂志,2011,21(12):2 452-2 454.