老干部科医院感染预防与控制的细节管理

Details in management of prevention and control of nosocomial infections in old cadre division

目的探讨老干部科医院感染管理的细节问题,有效预防控制医院感染的发生。方法对≥60岁的患者疾病种类、特点、年龄分布、基础疾病、住院时间等进行归纳分析。结果老年患者是医院感染的高危人群,危险因素主要与合并多种基础疾病、营养不良、高龄、长时间住院、侵入性操作、免疫功能低下、滥用抗菌药物等因素相互作用有关。结论医务人员规范的操作、管道的集束化管理、良好的慎独修养、注重细节管理、质量持续改进是预防老干部科医院感染发生的关键,是保证医疗护理安全的有效保证。

OBJECTIVE To effectively prevent and control hospital acquired infections by exploring the details of the management of hospital acquired infections in old cadre division.METHODS The disease types,characteristics,age,underlying diseases,and hospital stay of the patients with 60 years of age or older were summarized and analyzed.RESULTS The elderly patients were the population at high risk of nosocomial infections which were mainly associated with the combination of multiple underlying diseases,malnutrition,old age,long length of hospital stay,invasive operation,immune dysfunction,antibiotic abuse and so on.CONCLUSION The standardized operation,bundle management of catheter,good cautiousness cultivation,emphasis on detail management and continuous quality improvement are crucial to the prevention of nosocomial infections in old cadre division,which can ensure the safety of medical nursing.