微生物检验应用于感染控制中的价值研究

Study on the Value of Microbiological Testing in Infection Control

目的探讨微生物检验应用于感染控制中的价值。方法选择2018年8月—2019年8月该院收治的286例住院患者作为研究对象,以随机数表法将其随机分为两组,其中对照组与研究组各143例。两组患者到院后均完善各项检查,明确病情后应用相应的治疗措施。对照组仅进行常规感染控制,即根据患者的临床症状与表现,临床医师按照以往经验制定治疗方案,注意调整用药方式与剂量,密切观察患者药物不良反应。研究组在此基础上应用微生物检验进行感染控制。根据医院感染病原学诊断标准对比两组患者的医院感染情况,以及两组患者医院感染程度(轻度感染、中度感染、重度感染)。结果研究组医院感染的发生率2.10%(3/143)低于对照组8.39%(12/143),对比差异有统计学意义(χ~2=5.699,P<0.05)。研究组轻度感染的发生率1.40%(2/143)低于对照组6.29%(9/143);研究组中度感染与重度感染的发生率为0.70%(1/143)、1.40%(2/143),对照组分别为0.70%(1/143)、0.70%(1/143)。结论微生物检验在感染控制中具有显著的应用价值,能够有效预防医院感染。

Objective To explore the value of microbial testing in infection control.Methods From August 2018 to August 2019,286 inpatients admitted to the hospital were selected as the research object,and they were randomly divided into two groups by the random number table method,of which 143 were in the control group and the research group.After arriving at the hospital,the two groups of patients have completed all the examinations and applied the corresponding treatment measures after clarifying the condition.The control group only carried out routine infection control,that is,according to the clinical symptoms and performance of the patient,the clinician formulated a treatment plan based on past experience,paid attention to adjusting the medication mode and dose,and closely observed the patient’s adverse drug reactions.On this basis,the research team applied microbiological testing for infection control.According to the diagnostic criteria of nosocomial infection etiology,the nosocomial infection of the two groups of patients and the degree of nosocomial infection of the two groups of patients(mild infection,moderate infection,severe infection)were compared.Results The incidence of nosocomial infection in the study group was 2.10%(3/143)lower than that in the control group,8.39%(12/143),and the difference was statistically significant(χ~2=5.699,P<0.05).The incidence of mild infection in the study group was 1.40%(2/143)lower than that in the control group,6.29%(9/143);moderate infection and severe infection in the study group was 0.70%(1/143),1.40%(2/143)and the control group was0.70%(1/143),0.70%(1/143).Conclusion Microbiological testing has significant application value in infection control,can effectively prevent hospital infections.