创伤患者医院感染的监测及预防措施

Nosocomial Infection in Traumatic Patients: Surveillance and Preventive Measures

目的 了解创伤患者医院感染的情况。方法 回顾分析了我院 1999年 1月～ 2 0 0 2年 6月 335 6例创伤住院患者的有关临床资料。结果 14 6例患者患获得性感染 ,感染率为 4 .35 % ,感染部位为呼吸道感染、外科手术切口感染、皮肤感染及泌尿道感染为最常见 ,医院感染的病原菌主要是条件致病菌 ,其中以G-菌为主。结论 分析了医院感染的危险因素 ,加强对感染源的监测 ,严格无菌操作 ,合理使用抗生素 ,保护易感人群是防止医院感染流行的有效手段。

OBJECTIVE To learn the condition of nosocomial infection in traumatic patients.METHODS A total of 3 356 cases inpatients with traumatic diseases from Jan 1999 to June 2002 were retrospectively analyzed. RESULTS The total infection rate was 4.35%, 146 cases suffered from nosocomial infection. Respiratory tract was the frequent infection site, followed by postoperative incisional infection, skin infection and urinary tract infection. The predominant pathogens were opportunistic pathogen and Gram negative bacteria. CONCLUSIONS Risk factors of nosocomial infection were analyzed. Surveillance of infective origin were intensified. The strict aseptic manipulation was applied. Proper antibiotics were judicious used. Susceptibles population in hospital was protected. All the measures were effect, thus acting as a protection against nosocomial infection.