静脉用药调配中心医院感染的常见因素及预防措施探讨

Common Factors and Preventive Measures Discussion of Nosocomial Infection in Intravenous Drug Dispensing Center

目的探讨和分析在静脉用药调配中心中医院感染发生常见的因素和针对性的预防措施。方法此次抽选2017年3月至2019年3月在我院输液的患者(1000例)做研究,随机分为乙组(500例)、甲组(500例)。先抽查2014年3月至2017年2月静脉用药调配中心发生的74次医院感染事件,总结医院感染发生常见的因素,此后乙组常规干预,而甲组是针对常见因素实施针对性的感染预防控制措施,总结医院感染发生常见的因素,比较两组医院感染发生的概率。结果在抽查的74次医院感染事件中,47次是因为未规范进行配药,17次是因为药液运输、存放等不恰当,10次是因为护理人员的手消毒不合格。甲组医院感染的发生率低于乙组,差异显著,P <0.05。结论在静脉用药调配中心中,医院感染发生常见的因素主要是未规范进行配药、药液运输和存放等不恰当、护理人员的手消毒不合格等,经针对性的一些列预防控制措施能显著降低在静脉用药调配中心医院感染的发生风险。

Objective To explore and analyze common factors and preventive measures of nosocomial infection in intravenous drug dispensing center. Methods Choose 1000 cases transfusion patients in our hospital from March 2017 to March 2019, divide them into group B(500 cases) and group A(500 cases) randomly. First, examine 74 cases nosocomial infection events occurred in intravenous drug dispensing center from March 2014 to February2017 selectively, summarize common factors of nosocomial infection. After that, group B was treated with routine intervention, while group A with targeted infection prevention and control measures for common factors. Summarize common factors of nosocomial infection, and compare probability of nosocomial infection in two groups. Results Among 74 cases hospital infection incidents of selective examination, 47 cases were improper drug dispensing, 17 cases were improper transportation and storage of liquid medicine, and 10 cases were unqualified hand disinfection of nurses. Nosocomial infection incidence in group A was lower than group B, with significant difference,(P<0.05). Conclusion In intravenous drug dispensing center, main factors of nosocomial infection include improper drug dispensing, liquid transportation and storage, and unqualified hand disinfection of nursing staffs. Some targeted preventive and control measures can reduce nosocomial infection risks in intravenous drug dispensing center significantly.