剖宫产患者目标性监测与分析

Objective Monitoring and Analysis of Parturients Undergoing Cesarean Section

目的了解剖宫产患者的医院感染发生率、危险因素,积极采取预防措施,防止剖宫产感染的发生。方法采用目标性监测方法,参照卫生部2001年颁布的《医院感染诊断标准》,根据医院感染管理科专职人员深入科室检查及发现监测医师填写剖宫产患者监测调查表等进行分析。结果 2008年1-12月,医院共做剖宫产769例,发生医院感染病例28例,感染率3.64%,医院感染的主要危险因素是无菌操作不严格、插尿管、留置尿管时间长及空气污染。结论目标性监测方法能提高医院感染的发现率,为有效地采取医院感染控制措施提供更可靠的依据。

OBJECTIVE To investigate the nosocomial infection rate and risk factors in parturients undergoing cesarean section and take active measures to prevent cesarean section infection.METHODS According to the Diagnostic Criteria of Nosocomial Infection promulgated by the Chinese Ministry of Health in 2000,we introduced the objective monitoring method to make a feasibility analysis based on the monitoring questionnaire among parturients undergoing cesarean section,which was filled out by monitoring doctors and checked up strictly by special staffs from the infection control section.RESULTS From Jan to Dec 2008,there were 769 cases on cesarean section in our hospital,of which there were 28 cases with nosocomial infection.The rate of nosocomial infection was up to 3.64%.The main risk factors of nosocomial infection were as follows,executing unstrictly aseptic manipulation,too long the time of inserting urinary catheter and indwelling catheter and air contamination.CONCLUSIONS The method for objective monitoring helps to increase the detection rate of nosocomial infection.It provides better and reliable basis for us to take control measures effectively to prevent nosocomial infection.