摘要
目的了解某精神卫生中心医院连续5年医院感染现患率调查结果,分析相关危险因素,为有效防控医院感染提供科学依据。方法采用横断面调查方法对2015-2019年每年某日0:00-24:00所有住院患者以床旁调查与查阅病历相结合的方法,进行医院感染现患率调查,并对调查结果进行统计分析。结果2015-2019年现患率分别为2.87%,2.27%,2.39%,2.25%,2.67%,差异无统计学意义(P>0.05)。2015-2018各年非精神科病房医院感染现患率均高于精神科病房,差异有统计学意义(P<0.05),精神科病房中感染发生率最高的科室是老年精神科。医院感染部位以下呼吸道及泌尿道为主(50.24%),医院感染病原体以肺炎克雷伯菌为主(23.58%),由医院感染造成的多重耐药菌占医院感染病原菌总数的49.06%,医院感染多重耐药菌接触隔离措施执行率为63.08%。结论在精神卫生为主的综合性医院中,非精神科病房相对于精神科病房是医院感染管理的重点对象,精神科病房中老年精神病患者是医院感染管理者应重点关注的对象,注重下呼吸道及泌尿道感染的防控,严格执行多重耐药菌接触隔离的各项措施,进一步降低医院感染发生率。
Objective To understand the prevalence of nosocomial infection in a provincial mental health center for 5 years,and analyze the related risk factors,so as to provide scientific evidence for effective prevention and control of nosocomial infection.Methods A cross-sectional survey was conducted to investigate the prevalence of nosocomial infection in all inpatients from 0:99-24:00 on the same date every year of 2014-2018,using bedside surveys and reviewing medical records,and the results were statistically analyzed.Results The prevalences of nosocomial infection from 2015-2019 were 2.87%,2.27%,2.39%,2.25%and2.67%respectively,and the difference was not statistically significant(P>0.05).From 2015-2018,the prevalence of nosocomial infection in non-psychiatric wards was higher than that in psychiatric wards in different years(P<0.05),and the highest prevalence of infection in psychiatric wards was in the geriatric psychiatry department.The nosocomial infection sites were mainly respiratory tract and urinary tract(50.24%).Klebsiella pneumoniae was the main pathogen of hospital infection(23.58%).The multidrug-resistant bacteria caused by nosocomial infection accounted for 49.06%of the total number of nosocomial infections.The infection rate of multidrug-resistant bacteria in hospital infection was 63.08%.Conclusion In general hospitals focusing on mental health,non-psychiatric wards are the key objects of hospital infection management compared with psychiatric wards.The elderly patients with psychosis in the psychiatric ward is the object that the hospital infection managers should pay attention to;focusing on the prevention and control of the lower respiratory tract and urinary tract infection,strictly implementing the measures of the contact isolation of multidrug-resistant bacteria,can further reduce the incidence of hospital infection.
作者
周莹
林青青
ZHOU Ying;LIN Qingqing(The Third Hospital of MianYang/Sichuan Province Mental Health Center,Mianyang,Sichuan 621000,China)
出处
《河南预防医学杂志》
2021年第10期792-795,801,共5页
Henan Journal of Preventive Medicine
关键词
医院感染
现患率
精神科
非精神科
Nosocomial infection
Prevalence rate
Psychiatry department
Non-Psychiatry department
