针灸诱发医院感染相关因素及预防对策探讨

Related factors and preventive measures of nosocomial infection induced by Acupuncture and moxibustion

目的研究针灸诱发医院感染相关因素及预防对策。方法选取2016年9月~2018年3月医院采取针灸治疗患者238例,目标性监测针灸诱发医院感染人员,归纳与总结针灸诱发医院感染相关因素,有针对性制定预防对策。结果医院感染16例,感染率6.72%。皮肤黏膜浅表感染率4.62%,高于皮肤黏膜深部感染率1.26%、呼吸系统感染率0.42%、血行感染率0.42%,差异有统计学意义(P<0.05)。针灸诱发医院感染单因素构成比中年龄(≥65岁)、吸烟史、疾病类型(肿瘤、脑血管疾病)、基础疾病(2型糖尿病)、季节(秋冬)、器具消毒灭菌处置(一般)、操作误刺、锐器处置不当、操作人员手卫生差、医疗废物处置(不合理)、贫血、白蛋白水平低下、针灸环境一般的针灸患者诱发医院感染率,高于年龄(<65岁)、无吸烟史、疾病类型(骨科疾病、呼吸系统疾病、消化系统疾病)、基础疾病(高血压、高脂血症)、季节(春夏)、器具消毒灭菌处置(良好)、无操作误刺和锐器处置不当、操作人员手卫生良好、医疗废物处置(合理)、无贫血、白蛋白水平正常、针灸环境良好的针灸患者医院感染率,差异有统计学意义(P<0.05)。建立多因素Logistic回归模型分析,筛查出吸烟史、疾病类型、基础疾病、季节、器具消毒灭菌处置、操作误刺、锐器处置不当、操作人员手卫生、医疗废物处置、贫血、白蛋白水平、针灸环境是针灸诱发医院感染相关高危风险因素。结论针灸诱发医院感染相关因素复杂多样,并非单一因素所致,而加强感染相关因素早期识别与防控,针对高危易感人群及时干预,利于降低针灸诱发的医院感染率,促进患者早日康复。

Objective To study the related factors and preventive measures of nosocomial infection induced by acupuncture.Methods 238 patients were selected from September 2016 to March 2018 by Acupuncture and moxibustion treatment.The objective monitoring of acupuncture and moxibustion to induce hospital infection was conducted.The related factors of hospital infection induced by Acupuncture and moxibustion were summarized and summarized,and the preventive measures were formulated.Results There were 16 cases of nosocomial infection and 6.72%of the infection rate.The superficial infection rate of the skin and mucous membrane was 4.62%,which was higher than that of the deep skin infection rate 1.26%,the respiratory system infection rate 0.42%,the blood line infection rate 0.42%,the difference was statistically significant(P<0.05).Acupuncture-induced nosocomial infection single factor constitution,age≥65 years old,smoking history,cancer,cerebrovascular disease,type 2 diabetes,autumn and winter,appliance sterilization and sterilization,general handling,misoperation,improper handling of sharp instruments,operator hand hygiene Poor treatment,unreasonable treatment of medical waste,low levels of anemia,low levels of albumin,and acupuncture patients with acupuncture and moxibustion.Induced nosocomial infection rate,higher than the age of 65 years,no history of smoking,orthopedic diseases,respiratory diseases,digestive diseases,high Blood pressure,hyperlipidemia,spring and summer,good disinfection and sterilization equipment,no misuse of sharp instruments,improper handling of sharp instruments,good hand hygiene,reasonable treatment of medical waste,no anemia,normal albumin levels,and acupuncture treatment,the difference was statistically significant(P<0.05).A multi factor Logistic regression model was established to screen out smoking history,disease type,basic disease,season,disinfection and disposal of instruments,operation misconduct,improper disposal of sharp instruments,hand hygiene,medical waste disposal,anemia,albumin level,acupuncture and moxibustion environment,which are the risk factors related to hospital infection.Conclusion The factors associated with nosocomial infection induced by acupuncture are complex and diverse.It is not caused by single factors.The early identification and prevention of infection-related factors are strengthened.The timely intervention for highrisk and susceptible populations will help reduce the hospital infection rate induced by acupuncture and promote early recovery of patients.