门诊输液室感染危险因素分析及管理对策

Analysis of Risk Factors of Infection in Outpatient Transfusion Room and Management Strategies

目的分析门诊输液室感染危险因素,总结其管理对策。方法回顾性分析2014年6月—2015年6月间湖北省孝感市中心医院门诊输液室接受输液治疗患者临床资料,筛选发生门诊输液室感染病例,分析其发生感染的危险因素,总结降低门诊输液感染发生率的管理对策。结果本组感染率为11.37%,其中呼吸道感染175例(57.00%),消化系统感染80例(26.06%),呼吸道并消化系统感染50例(16.29%),其他2例(0.65%);年龄、治疗时间、医护人员手卫生情况是影响门诊输液室感染发生率的危险因素。结论年龄、输液时间、环境因素均与门诊输液室感染发生相关,为降低医院感染发生率,必须严格贯彻管理制度,重视对医护人员培训,加强对患者的健康教育,重视输液室环境的维护。

Objective To analyze the risk factors of infection in outpatient transfusion room and to summarize the management strategies. Methods The clinical data of patients receiving transfusion treatment in the outpatient transfusion room of our hospital from June 2014 to June 2015 were retrospectively analyzed. The cases with infectionin in the outpatient transfusion room were screened out.The risk factors of infection were analyzed and the management strategies for reducing the incidence of transfusion infection in outpatient department were summarized. Results The infection rate of the group was 11. 37%,of which there were 175 cases( 57. 00%) with respiratory tract infection,80 cases( 26. 06%) with digestive system infection,50 cases( 16. 29%) with respiratory tract and digestive system infection and 2 cases( 0. 65%) with other infection; Age,treatment time and hand hygiene of health care workers were the risk factors influencing the incidence of infection in the transfusion room.Conclusion Age, infusion time and environmental factors are related to infection in outpatient transfusion room. In order to reduce the incidence of nosocomial infection,the management system must be strictly implemented. Attention should be paid to the training of health care workers and the health education of patients should be strengthened. The maintenance of environment of transfusion room should also be paid attention.