骨折患者医院感染及对策

Hospital Infection in Fracture Patients and Corresponding Strategy

目的 探讨骨折患者发生医院感染的预防和治疗方法。方法 回顾性和前瞻性统计分析2000-2005年骨折患者发生医院感染情况。结果 骨折患者1345例中发生医院感染43例，占3．2％；以〈5岁感染率较高（6．0％），感染率由高至低依次为15～44岁、5～14岁年龄段，≥60岁、45～59岁年龄段。结论 骨折或骨折术后感染在骨科患者中易出现，是多因素所致，病区环境、手术消毒措施、术者技术操作的熟练程度、手术时问的长短、合理选用抗菌药物等，均是防治医院感染的重要环节；重视各环节的质量控制，可降低骨折患者医院感染率。

OBJECTIVE To investigate the prevention from hospital infection and therapy in fracture patients. METHODS We analyzed the situation of hospital infection in the fracture patients ranged from 2000 to 2005 with reviewing and perspective statistical method. RESULTS Totally 43 cases were infected from 1345 fracture patients, taken 3.2%. It was the highest with infection rate under the age of 5（6.0%）, then was successively at the 15-44 years old age, 5-14 years old age, ≥60 and 45-59 years old age. CONCLUSIONS The fracture patients or those experiencing surgical operation are easy to have hospital infection. It is a multifactorial result. For instance, the environment of ward, the disinfection measure in operation, the skilled degree of surgical operators, the length of operation time, rational selection antibiotics and so on, are all the important factors to prevent and cure hospital infection. Pay attention to the quality controlling every link, can reduce the rate of hospital infection among fracture patients.