妇科970例患者医院感染回顾性分析

Analysis of nosocomial infections in patients with gynecologic disorders A retrospective re-port of 970 cases

本文分析了我院自开诊以来妇科患者医院感染情况。９７０例妇科住院病人中发生医院感染５４例，发生率５６％，医院感染例次数６０例，例次发生率６２％，其中严重感染５例。感染部位以泌尿道最多，细菌以大肠杆菌、金黄色葡萄球菌常见。统计分析提示医院感染的发生与下列因素有关：侵袭性操作；手术伤口的类别；手术的范围与时间。而与患者年龄、化学治疗无明显关系。我们认为，为降低医院感染发生率，要加强医务人员的无菌观念，严格消毒制度更为重要，并有必要对某些患者术前预防性应用抗生素。

The incidence of nosocomial infections was investigated in patients with gynecologic diseasesince the opening of the hospital.54(5.6%) out of 970 patients were confirmed to have nosocomial infec-tions. 60(6.2%) morbidity presented in 54 patients. The most common pathogenetic bacteria weze foundStaphylococcus aureus and E. coli and the most common location of infection was urinary system. Thestatistic study showed that nosocomial infection was related to those factors as follows:1) invasive pro-cedures; 2) the type of operation; 3) the time and area of operation, whereas there was no relationship topatients' age and chemotherapy. We concluded that, to reduce the nosocomial infection, the medicalworkers must keep the sterilization in mind and it may be helpful for some patients to give antibiiotic be-fore operation。