在护理督导下合理使用抗生素对控制医院感染发生的效果

Effect of Rational Use of Antibiotics on Nosocomial Infection Control Under Nursing Supervision

目的探讨和分析在护理督导下合理使用抗生素对控制医院感染发生的效果。方法研究选择2014年6月—2016年5月在我院治疗的244例患者为研究对象,随机分为甲组、乙组,每组122例。乙组患者遵医嘱使用抗生素,而甲组患者是在护理督导下使用抗生素,总结甲乙两组患者医院感染发生的科室、部位、病原菌株,并评价甲乙两组患者医院感染的发生率。结果甲组患者医院感染的总发生率(2.46%)少于乙组患者(9.02%),差异具有统计学意义(χ~2=4.850,P=0.028)。结论在抗生素的应用中,护士是执行者,同时护士也是医院感染控制的核心成员,抗生素应用时进行护理督导可降低医院感染发生的风险。

Objective To investigate and analyze the effect of rational use of antibiotics under nursing supervision on nosocomial infection control. Methods A total of 244 patients treated in our hospital from June 2014 to May 2016 were selected as the subjects, and were randomly divided into group A and group B, 122 cases in each group. The patients in group B received antibiotics according to their doctor＇s instructions, the patients in group A received antibiotics under nursing supervision. To sum up the departments, locations and pathogenic strains of nosocomial infection in two groups of patients, and the incidence rate of nosocomial infection in two groups was evaluated. Results the total incidence rate of hospital infection in group A （2.46%） was lower than group B （9.02%）, the difference was statistically significant （x2=4.850, P=0.028）. Conclusion In the application of antibiotics, nurses are executors, and nurses are also the core members of hospital infection control. Nursing supervision during the use of antibiotics can reduce the risk of hospital infection.