我院妇产科医院感染的调查分析

Investigation and analysis on hospital infection in the department of gynecology and obstetrics in our hospital

目的探讨妇产科医院感染管理成效及感染原因和控制措施.方法对医院妇产科2000～2004年5年间出院病人进行医院感染状况回顾性分析.结果2000～2004年,妇产科医院感染率总体呈下降趋势(P＜0.05);上呼吸道(40.29%)、手术部位(23.02%)感染占所有感染部位构成比排序的前2位;妇科恶性肿瘤感染发病率(21.28%)最高;因检查治疗需要接受侵入性操作病人的感染率为5.39%;医院感染病人中细菌培养送检率为41.73%,其中革兰氏阴性杆菌占45.83%、革兰氏阳关键所在.性球菌占20.83%、真菌占33.33%.结论采取有效的医院感染管理措施是降低妇产科医院感染发病率的关键所在.

Objective To explore the management effect of hospital infection and the causes and control measures in the department of gynecology and obstetrics in our hospital.Method Using the method of retrospective analysis to analyze the data of hospital infection in the discharged patients from 2000 to 2004 in the department of gynecology and obstetrics in our hospital.Results From 2000 to 2004,the hospital infection rate showed a descend trend as a whole year by year(P<0.05).The preceding two locations of hospital infection were upper respiratory tract(40.29%) and the operation part(23.02%).The infection rate was highest in patients with gynecological tumor(21.28%).The rate of infection due to intruding procedure was 5.39%.In the infected patients,gemiculture were done in (41.73%).The main pathogens were gram-negative bacillus(45.83%),gram-positive coccus(20.83%) and fungi((33.33%)).(Conclusion It) is the key point to take effective hospital infection management measures to reduce the hospital infection rate in the department of gynecology and obstetrics.