静脉用药调配中心医院感染现状调查

Status quo investigation of hospital infection in Pharmacy Intravenous Admixture Service

目的调查分析静脉用药调配中心医院感染现状，探究预防措施。方法分析本院2014年至2016年静脉用药调配中心发生的168例医院感染事件，并自2015年采取有效预防措施，2014年至2015年与2015年至2016年医院感染事件发生率比较，统计静脉用药调配中心医院感染诱发因素。结果2014年至2016年医院感染事件主要体现为微生物污染、热源污染、空气污染、药液污染，2015年至2016年医院感染事件发生率43．45％低于2014年至2015年56．55％，差异有统计学意义（P〈0．05）。168例医院感染诱发因素中药剂师操作不规范81例48．21％、药品存放和（或）运输不符合要求70例41．67％。结论静脉用药调配中心医院感染主要诱发因素为药剂师操作不规范、药品存放和（或）运输不符合要求，医院应采取针对性的预防措施，降低感染率。

Objective To investigate and analyze the status quo of hospital infection in Pharmacy Intravenous Admixture Service （PIVAS）, to explore the preventive measures. Methods Analyzed 168 cases of hospital infection in PIVAS of our hospital from 2014 to 2016, the effective preventive measures were taken since 2015. The incidence of hospital infection from 2014 to 2015 and from 2015 to 2016 were compared. The inducing factors of hospital infection in PIVAS were analyzed. Results From 2014 to 2016, hospital infection mainly embodied in microbial pollution, heat source pollution, air pollution, liquid pollution. The incidence of hospital infection from 2015 to 2016 （43.45%） was lower than that from 2014 to 2015 （56.55%）, with statistically significant difference （P〈0.05）. The inducing factors of 168 cases of hospital infection included not standard pharmacists＇ operation in 81 cases （48.21%）, not standard drug storage and/or transportation in 70 cases （41.67%）. Conclusion The inducing factors of hospital infection in PIVAS are mainly not standard pharmacists＇ operation and not standard drug storage and/or transportation. Hospitals should take corresponding prevention measures to reduce the infection rate.