186例产科医院感染的临床分析

Clinical analysis of 186 cases of nosocomial infections in department of obstetrics

目的分析产科医院感染的相关因素,探讨预防措施。方法对2004-2009年发生的186例医院感染病例分两个阶段进行统计分析。结果 2004-2006年医院感染主要部位为呼吸道、腹部切口、会阴伤口,分别占52.9%、19.6%、8.8%,2007-2009年医院感染主要部位为呼吸道、生殖道、腹部切口,分别占33.3%、27.4%、19.1%;两个阶段医院感染率分别为2.5%、1.5%,空气检测合格率80.1%、94.1%,物体表面检测合格率76.7%、94.0%,工作人员手检测合格率81.8%、94.9%,两组比较,差异有统计学意义(P<0.05)。结论强化医院感染管理,改善病房环境,重视病原学检查,根据病原学结果选择用药,以减少医院感染的发生。

OBJECTIVE To analyze the risk factors for nosocomial infections in department of obstetrics and explore preventive measures. METHODS Statistical analysis of 186 cases of nosocomial infections from 2004 to 2009 was performed in two stages. RESULTS The predominant infected sites from 2004 to 2006 including respiratory tract, abdominal incision, and perineal incision, accounting for 52. 9%, 19. 8%, and 8. 8%, respectively） the predominant infected sites during 2007-2009 were respiratory tract, reproductive tract, and abdominal incision, accounting for as. a %, 27.4 %, and 19.1%, respectively） the rate of nosocomial infections of the two stages were 2.5 % and 1.5 % respectively, the qualified rates of air testing were 80.1% and 94.1% respectively, the qualified rates of objects surface testing were 76.7% and 93.9% respectively, and the qualified rates of test of the hands were 81.8% and 94, 9% respectively, no statistical significance was found between the two stages （P〈0.05）. Of 79 （78.2%） strains of pathogens cultured, there were 67 strains of bacteria, 1 strain of fungus, and 9 strains of Ureaplasma urealyticum, and 2 strains of Myeoplasma. CONCLUSION In order to reduce nosocomial infection, it is necessary to strengthen the management of hospital infection, improve the ward environment, emphasize the examination of etiology, and apply medication base on the etiology result.