医院内菌血症的调查与干预措施探讨

Nosocomial Bacteremia:Investigation and Intervenion Measure

目的探讨短期内医院内菌血症发病率升高的原因,以便采取有效的干预措施.方法对2004年1～6月发生的12例医院内菌血症病例及相关危险因素调查分析.结果12例医院内菌血症患者均有严重的基础病及使用浅静脉留置针史,6例患者有深静脉插管史;环境、无菌物品、消毒剂监测均达标;洗手后手的合格率为80%;平时洗手的执行情况差;医院恶性肿瘤住院患者增加,静脉置管技术广泛开展.结论通过流行病学调查,有助于我们查找某医院感染发病率升高的原因,加强洗手,可在一定程度上降低医院内菌血症感染的发病率.

OBJECTIVE To investigate the reason of the increasing nosocomial bacteremia rate in a short time for adopt effective intervenion measures. METHODS Twelve cases of nosocomial bacteremia patients from Jan 2004 to Jun 2004 and their risk factors were studied and analyzed. RESULTS Twelve cases of nosocomial bacteremia patients had severe underlying disorders, 6 cases were operated by deep vein operation with catheter dwelling, 12 cases were operated by superficial vein operation with catheter dwelling. The surveillance on environmetal hygiene and sterile object and disinfectant were in coincidence with standard. The coincidence standard rate of hand-washing was 80%. The malignant tumor patients were increasing, vein operation with catheter dwelling was widely used. CONCLUSIONS The epidemiological investigation is helpful for us to find out the reason of increasing nosocomial infection rate, and strengthening hand-washing can decrease the nosocomial bacteremia rate to a certain extent.