349例医院感染监测及护理对策

Nosocomial Infection Surveillance and Nursing Countermeasures of 349 Cases

目的:了解医院感染现状及易感因素,规范落实护理措施,有效防控医院感染。方法:采用实时与回顾性监测方法,临床医师按照统一表格填写医院感染病历信息并上报;感染科人员应用监测网络系统核查补漏病例,每月进行数据分析反馈。结果:349例医院感染,主要感染为呼吸道感染占63.8%,泌尿道感染占11.2%,血液感染占10.9%。医院感染易感因素以长期卧床、癌症、免疫功能低下分别居前三位;侵害性操作以静脉穿刺、泌尿道插管、动静脉插管分别居前三位。结论:护理人员关注高危易感因素,严格执行感染防控措施,可降低医院感染率。

Objective：To understand hospital infection status and risk factors, to standardized management carry out the nursing measures, the effectively prevention and control hospital infection.Method：By adopting the method of real-time and retrospective monitoring,clinicians in accordance with the unified form fill in information of hospital infection in medical records and reports.Infection department personnel application monitoring network system for check the missed cases,monthly data analysis for feedback.Result：349 cases of hospital infection,of which the main infection of respiratory tract infection（63.8%）,urinary tract infection（11.2%）,blood infection（10.9%）.Hospital infection risk factors for bedridden,cancer,lowered immunity patients.At the top three of invasive operation with urinary tract intubation,arteriovenous,venipuncture intubation,the top three,respectively. Conclusion：Nursing staff should focus on high-risk susceptibility factors,strictly carry out infection control measures to reduce hospital infection rates.