行政管理干预对医院感染率的影响

Effect of Administrative Management Interventions on Nosocomial Infection Rate

目的了解行政管理制度对医院感染率的影响。方法回顾性收集2000-2009年医院感染率和平均住院日、抗菌药物使用率,2005-2009年消毒凝胶使用量并做相关性分析;无陪护前后5年医院感染率做对比分析。结果医院感染率与平均住院日存在正相关关系,差异有统计学意义(r=0.758,P<0.05);与抗菌药物使用率存在正相关关系,差异有统计学意义(r=0.903,P<0.05);与消毒凝胶使用量存在负相关关系,差异有统计学意义(r=-1.000,P<0.05);无陪护后5年医院感染率较无陪护前下降,差异有统计学意义(2χ=212.701,P<0.05)。结论医院的缩短平均住院日、降低药品比例、手卫生管理、无陪护制度有利于降低医院感染率。

OBJECTIVE To investigate the effect of administrative management system on nosocomial infection rate. METHODS The data of the nosocomial infection rate, average length of stay, antimicrobial usage rate from 2000 to 2009 and the usage amount of disinfection gel from 2005 to 2009 were collected with the retrospective method and the corrective analysis was performed. The nosocomial infection rates using unaccompanied system before and after 5 years were made a contrast analysis. RESULTS There was a positive correlation between the nosocomial infection rate and average length of stay （r = 0. 758, P 〈 0.05）, and the antimierobial usage rate （r = 0. 903, P〈 0. 05）. There was a negative correlation between the nosoeomial infection rate and the usage amount of disinfection gel（r =-1. 000,P〈 0.05）. After using unaccompanied system for 5 years, the nosocomial infection rate was decreased than before（x^2 =212. 701 ,P〈0. 05）. CONCLUSION Shortening the average length of stay, decreasing the ratio of drug, hand hygiene management and unaccompanied system are beneficial for decreasing the nosocomial infection rate.