基层医院消化内镜医院感染相关危险因素分析及控制措施

Analysis and Control Measures of Risk Factors Related to Gastrointestinal Endoscopy Nosocomial Infection in Primary Hospitals

目的针对基层医院消化内镜医院感染相关危险因素以及控制措施进行深入研究并加以分析。方法该次试验挑选2016年3月-2019年1月消化内镜1 900个样本检测结果作为该次实验分析对象,不合格80个为观察组,合格1 820个为对照组。对消化内镜医院感染相关危险因素进行深入分析。结果对照组样本清洗时间较长,检查人次数量比观察组低,同时操作不当、多酶洗液浓度、干燥保存明显高于观察组(P<0.05);根据Logistic分析显示,操作不当、多酶洗液浓度、检查患者数量、清洗时间、干燥保存是院内感染的影响因素(P<0.05)。结论影响医院消化内镜医院感染的相关因素较多,必须加强内镜消毒管理工作以及对内镜工作人员的培训,严格要求按照标准流程进行操作,以此来保证医疗安全。

Objective To conduct in-depth research and analysis of risk factors and control measures for gastrointestinal endoscopic nosocomial infections in primary hospitals.Methods The test results of 1900 samples of digestive endoscopy from March 2016 to January 2019 were selected as the analysis object of this experiment.80 unqualified were the observation group and 1820 qualified were the control group.In-depth analysis of risk factors related to nosocomial infection in digestive endoscopy.Results The samples in the control group had a longer cleaning time,and the number of inspections was lower than that in the observation group.At the same time,the improper operation,the concentration of multi-enzyme washing solution,and the dry storage were significantly higher than those in the observation group(P<0.05).Enzyme wash solution concentration,number of patients examined,washing time,and dry storage were risk factors in infectious hospital(P<0.05).Conclusion There are many related factors affecting hospital infections in digestive and endoscopic hospitals.Endoscopic disinfection management and training of endoscopic staff must be strengthened,and strict procedures are required to operate in accordance with standard procedures to ensure medical safety.