骨折住院患者医院感染相关因素分析

Related factors of nosocomial infection for fracture inpatients

目的探讨骨科住院患者医院感染特点及相关因素。方法回顾性分析1506例骨折住院患者的临床资料。结果共有51例发生医院感染,感染率为3.39%;感染部位以手术切口为主,占50.98%,其次为泌尿道和皮肤软组织,分别占17.65%和13.73%;单因素2χ检验结果,年龄、接受急诊手术、Ⅲ类手术切口、手术及住院时间长、侵入性操作及开放性骨折为医院感染的危险因素(P<0.05)。结论骨折住院患者医院感染与多种因素有关,重视各环节的质量控制,是防治医院感染的重要措施。

OBJECTIVE To explore the related factors between nosocomial infection and fracture inpatients.METHODS The clinical data of 1506 fracture inpatients was retrospectively analyzed.RESULTS A total of 51 cases were infected with a rate of 3.39%.The main infectious area was surgical incision,accounting for 50.98%,and urinary tract and skin soft tissue were the second infectious areas,accounting for 17.65% and 13.73%,respectively.The correlation analysis showed that age,emergent surgery,type of surgical incision,operation time,hospital stay,invasive procedures and open fractures were the risk factors of nosocomial infection（P0.05）.CONCLUSION Nosocomial infection of fracture inpatients is related to many factors.Paying great attention to the quality control of each link plays an important role in preventing and curing hospital infection.