出院后随访在眼科手术患者医院感染管理中的应用

Application of Follow-up after Hospital Discharge in Management of Nosocomial Infection in Patients Undergoing Ophthalmic Surgery

目的探讨出院后随访研究在眼科手术患者医院感染管理中的应用,为预防医院感染及制定控制措施提供依据。方法对南昌大学附属眼科医院2020—2021年眼科手术出院患者12961例进行随访研究,追踪患者出院后手术部位感染情况,比较患者出院前医院感染发生率和总医院感染发生率的差异。结果12961例患者完成随访12743例,完成随访率为98.32%。在完成随访的12743例患者中,有4例患者出院前发生医院感染,有8例患者出院后发生医院感染,出院前医院感染发生率与总医院感染发生率比较差异有统计学意义(0.03%比0.09%、χ^(2)=4.00、P=0.046)。结论通过对出院患者进行随访,能够及时掌握患者出院后发生医院感染情况,可为医院感染预防和控制措施的制定提供相关依据。

Objective To explore the application of follow-up after hospital discharge in the management of nosocomial infection in patients undergoing ophthalmic surgery,and to provide a basis for the prevention of nosocomial infection and the formulation of control measures.MethodsA follow-up study was conducted on 12961 patients discharged from Affiliated Eye Hospital of Nanchang University from 2020 to 2021.The surgical site infection was tracked after discharge,and the difference between the nosocomial infection rate before discharge and the total nosocomial infection rate was analyzed.Results Among the 12961 patients,12743(98.32%)completed the follow-up.Of the 12743 patients,nosocomial infection occurred in 4 before discharge,and in 8 after discharge.The nosocomial infection rate before discharge was not significantly different from the total nosocomial infection rate(0.03%vs 0.09%,χ^(2)=4.00,P=0.046).Conclusion The situation of nosocomial infection can be grasped in time through the follow-up in discharged patients,which can provide relevant basis for the development of nosocomial infection prevention and control measures.