急诊科医院内感染的临床特点及危险因素分析

Analysis of clinical features and risk factors for nosocomial infection in emergency department in our hospital

目的了解佳木斯大学第一附属医院急诊科医院内感染的临床特点及危险因素,并研讨对策。方法回顾性分析佳木斯大学第一附属医院急诊科2010年1月—2011年6月31例发生医院内感染的患者的临床资料,总结其临床特点,分析发生医院内感染的危险因素。结果佳木斯大学第一附属医院急诊科医院内感染发生部位以呼吸系统和泌尿系统为主,且以高年龄、意识障碍、机械呼吸的应用为突出特点。感染的发生明显受到患者的住院时间、侵入性操作、抗生素使用情况的影响。结论医务工作者应了解佳木斯大学第一附属医院急诊科医院内感染的临床特点及危险因素,以便实施预防和管理措施,降低感染发生率。

Objective To analyze the clinical features and risk factors for nosocomial infection in emergency department in our hospital and provide some reference data for clinical work. Methods From January 2010 to June 2011 in emergency department in our hospital, the clinical data of 31 cases of nosocomial infection were analyzed retrospectively, summarized the clinical features for nosocomial infection and analyzed the risk factors. Results The respiratory and urinary systems were the predominent parts of nosocomial infection in emergency department in our hospital,and the outstanding characteristic were high age, disturbance of consciousness, the application of mechanical respiration. Apparent infection related with the patients＇hospital stay, invasive procedures, antibiotic usage. Conclusions Medical workers should be aware of the clinical features and risk factors for nosocomial infection in emergency department in our hospital, and the strict implementation of the prevention and management measures to reduce the incidence of infection.