急诊科患者医院感染防控措施探讨

Prevention and control measures of hospital infection of patients in emergency department

目的:探讨分析医院急诊科发生医院感染的相关感染因素,以促进急诊科患者医院防控措施水平的提高.方法:选取2013-04/2014-01我院患者进行回顾性分析,根据手卫生管理制度实施前后将其分为观察组和对照组,分析对比两组患者不同感染部位的感染率情况.结果:观察组患者烧伤部位感染率21.74%(5/23)、手术部位感染率2.02%(9/446)和呼吸道感染率0.22%(1/452)均明显低于对照组患者的47.37%(9/19)、4.44%(19/405)和1.52%(6/396),差异均有统计学意义(P<0.05).结论:急诊科患者的医院感染情况与医护人员的手卫生管理情况有关,对急诊科医务人员进行手卫生管理能够有效降低患者的医院感染率,在急诊科医院感染的预防与控制中具有重要的意义,值得临床进一步推广.

AIM： To explore the related factors of hospital infection in emergency department in order to improve the level of prevention and control measures. METHODS： Patients from April 2013 to January 2014 admitted into our hospital were retrospectively analyzed according to the management of hand hygiene before and after the implementation, and then divided into observation group and control group. The infection rates of different infection sites in two groups were analyzed. RESULTS： In the observation group, wound infection rate was 21.74% （5/23）, operation site infection rate was 2.02% （9/446） and the rate of 0.22% in respiratory tract infection （1/452） was significantly lower than those of the patients in the control group, and the corresponding data were 47.37% （9/19）, 4.44% （19/405） and 1.52% （6/396）. The differences were statistically significant （P〈0.05）. CONCLUSION： The infection of patients in emergency department is related with hand hygiene management of medical staff, and the hand hygiene management of emergency of medical staff can effectively reduce the infection rate in patients, and it is of important significance in the prevention of infection in emergency department, and it is worthy of further promotion.