期刊文献+

北京市某医院医疗器械致院内感染的危险因素分析 被引量:4

Analysis of Risk Factors of Nosocomial Infection Caused by Medical Instruments in a Hospital of Beijing City
下载PDF
导出
摘要 目的:研究医疗器械致院内感染的危险因素并对其针对性预防措施予以分析。方法:选取2014年4月-2017年4月北京市某医院发生医疗器械相关血液感染的患者102例(观察组)和未发生医疗器械相关血液感染的患者102例(对照组)为研究对象。对医疗器械致院内感染相关危险因素进行分析,比较两组空气生物检测、物表生物检测以及医务人员手卫生检测合格率,两组院内感染发生率及医务人员对医疗器械的满意度。结果:观察组空气生物检测、物表生物检测以及医务人员手卫生检测合格率均高于对照组(均P<0.05)。经Logistic回归分析,空气生物检测不合格、物表生物检测不合格以及医务人员手卫生检测不合格均是影响医院医疗器械致院内感染的独立危险因素(均P<0.05)。观察组院内感染发生率低于对照组(P<0.05)。观察组医务人员对医疗器械的满意度高于对照组(均P<0.05)。结论:空气生物检测、物表生物检测以及医务人员手卫生检测不合格均可能诱发医疗器械致院内感染,通过针对性干预可有效降低院内感染发生率,同时提高医务人员满意度。 Objective: To study the risk factors of nosocomial infection caused by medical instruments and analyze its pertinent preventive measures. Methods: From April 2014 to April 2017, medical device related blood infections 102 patients was selected as observation group, and 102 cases with no blood infection were taken as the control group. The two groups with air biological detection, surface biological detection and medical staff hand hygiene detection qualified rate were compared, and the incidence and satisfaction of medical staff on medical infection were compared too. Results: The air biological detection, surface biological detection and medical personnel hand hygiene inspection qualified rate of observation group were significantly higher than the control group(all P <0.05). Logistic regression analysis showed that the air biological testing was not qualified, the biological examination of the surface was not qualified, and the hand hygiene inspection of medical staff was not qualified, which were the independent risk factors of nosocomial infection caused by hospital medical devices (all P <0.05). The observation group of the incidence of nosocomial infection was significantly lower than the control group( P <0.05). The observation group of satisfaction of medical staff on medical devices was significantly higher than the control group(all P <0.05). Conclusion: Air biological testing is not qualified, biological examination is not qualified, and medical staff's hand hygiene inspection is not qualified, which may induce hospital infection caused by medical devices, and targeted intervention can effectively reduce the incidence of nosocomial infection, and improve the satisfaction of medical staff.
作者 严新 刘亚涛 Yan Xin(Department of Equipment, CAAC Hospital of Beijing City, Beijing, 100123)
出处 《医学与社会》 北大核心 2019年第3期79-82,共4页 Medicine and Society
基金 北京市食品药品监督管理局课题基金项目(医疗器械不良事件重点检测基金项目) 编号为MHC03
关键词 医疗器械 院内感染 危险因素 LOGISTIC回归分析 预防措施 Medical Instrument Nosocomial Infection Risk Factor Logistic Regression Analysis Prevention Measures
  • 相关文献

参考文献7

二级参考文献68

  • 1中华人民共和国卫生部.多重耐药菌医院感染预防与控制技术指南(试行)[S].2011.
  • 2Dornbusch H J, Manzoni P, Roilides E, et al. Invasive fungal infections in children [ J ]. The Pediatric infectious disease journal ,2009,28 ( 8 ) :734 - 737.
  • 3A1 - Sweih N, Khan Z, Khan S, et al. Neonatal candidaemia in Kuwait : a 12 - year study of risk factors, species spectrum and antifungal susceptibility [ J ]. Mycoses, 2009,52 ( 6 ) : 518 - 523.
  • 4Montagna MT, Lovero G, De Giglio O. Invasive fungal infec- tions in neonatal intensive care units of Southern Italy : a mul- ticentre regional active surveillance (AURORA project)[J]. J Prey Med Hyg,2010,51(3) :125 -130.
  • 5Parikh TB, Nanavati RN, Patankar CV. Fluconazole prophy- laxis against fungal colonization and invasive fungal infection in very low birth weight infants[J]. Indian Pediatr, 2007,44 (11) :830 -837.
  • 6Khorvash F, Abbasi S, Yaran M, et al. Molecular detection of Candida spp and Aspergillus fumigatus in bronchoalveolar lavage fluid of patients with ventilator - associated pneumo- nia[J]. J Res Med Sci,2014,19(Suppl 1) :S46 -50.
  • 7LeeJC, HwangHJ, ParkY H, et al. Comparison of se- verity predictive rules for hospitalised nursing home - ac- quired pneumonia in Korea: a retrospective observational studv[J]. Prim Care Respir J,2013,22(2) :149 - 154.
  • 8Stephan F, CheffJ A, Bonnet F. Nosocomial infections and outcome of critically ill elderly patients after surgery [J]. Anesthesiology ,2001,94 ( 3 ) :407 - 414.
  • 9Yilmaz G R, Cevik M A, Erdinc F S, et al. The risk fac- tors for infections acquired by cerebral hemorrhage and cere- bral infarct patients in a neurology intensive care unit in Turkey [J]. Jpn J Infect Dis, 2007,60 ( 2 - 3 ) : 87 - 91.
  • 10Meric M, Willke A, Caglayan C, et al. Intensive care unit - acquired infections : incidence, risk factors and associat- ed mortality in a Turkish university hospital [J]. Jpn J In- fect Dis ,2005,58 (5) :297 - 302.

共引文献146

同被引文献40

引证文献4

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部