心胸外科住院患者术后医院感染的特征分析

Hospitalized Cardiothoracic Surgery Patients of Postoperative Nosocomial Infection Characteristics Analysis

目的探讨心胸外科住院患者手术后医院感染的特征及护理干预措施。方法对本院心胸外科2008年4月至2013年5月接诊收治的71例术后出现院内感染的患者病例资料进行详细回顾性分析,总结患者医院感染特征,分析护理干预措施。结果 5年间共接诊收治手术患者1176例,出现医院感染的共71例,感染率6.04%。呼吸道、胃肠道及泌尿道感染多见,其中呼吸道感染46例,占64.79%,胃肠道感染8例,占11.27%,泌尿道感染7例,占9.86%大肠埃希菌、肺炎克雷伯菌及金黄色葡萄球菌为主要病原菌。71例医院感染患者均有两种以上侵入性的操作,多种侵入性操作增加了患者医院感染几率。结论了解患者术后医院感染特征及相关危险因素,并针对这些危险因素进行有效控制,可以有效减少术后医院感染率。

Objective To investigate the hospitalized cardiothoracic surgery patients after the operation, the characteris- tics of nosocomial infection and nursing interventions. Me,otis Retrospective analysis 71 cases of postoperative nosocomial in- fection patient＇s clinical data in our hospital from April 2008 to May 2013, summarizes the characteristics, analysis the nursing in- tervention measures. Results In 5 years we treated 1176 eases of operated patients, hospital infection 71 cases, infection rate of 6.04%. Respiratory tract, gastrointestinal tract and urinary tract infections, Including respiratory infections, 46 cases （64. 79% ） , 8 cases of infection, gastrointestinal tract （ 11.27% ）, 7 cases of urinary tract infection, accounting for 9. 86% E. coli, klebsiella pneumoniae, staphylococcus aureus, as the main pathogenic bacteria. 71 patients with hospital infection were two or more invasive operation, various invasive operations increased in patients with hospital infection risk. Conclusion Study post- operative patients with hospital infection characteristics and related risk factors, and to effectively control these risk factors, can ef- fectively reduce postoperative hospital infection rate.