摘要
目的探讨高龄髋部手术患者医院感染危险因素并提出防控对策。方法采用回顾性调查方法，对2014年1月～2015年6月我院骨科311例高龄髋部手术患者的临床资料进行调查分析。结果261例高龄髋部手术患者中，发生医院感染21例、39例次，感染率为6．75％、感染例次率为12．54％。感染部位以下呼吸道为主占47．62％，其次是泌尿道、上呼吸道及手术部位，分别占23．81％、23．81％、4．76％。革兰阴性杆菌占90．63％；病原菌均呈现出对常见抗生素的多重耐药性；导致高龄髋部手术患者医院感染的主要危险因素包括住院时间、年龄、基础疾病、术前住院天数、麻醉方式及留置导尿等。结论高龄髋部手术患者医院感染率高，影响因素多，感染部位主要为呼吸和泌尿系统，病原菌呈现多重耐药特点。预防高龄髋部手术患者医院感染，应采取综合性防控措施。包括加强病房环境管理、强化对留置导管的消毒、加强护理及做好手卫生、合理使用抗生素等，以有效控制医院感染的发生。
Objective To explore the risk factors and prevention of elderly patients with hip surgery hospital infection. Methods Clinical data of 311 orthopedic hip surgery aged patients were analyzed. Results Of 261 senile hip surgery patients, there were 21 cases with 39 hospital infections. The infection rate was 6.75%. Infection site were respiratory tract （47.62%）, urinary tract （23.81%）, upper respiratory tract （23.81%） and surgical site（23.81%）. The causes of senile hip surgery patients with hospital infection included the length of hospital stay, age, basic diseases, hospitalization days, preoperative anesthesia and indwelling catheter. Conclusion Elderly patients with hip surgery hospital infection rate is high.. Prevention of elderly patients with hip surgery hospital infection, comprehensive prevention and control measures should be taken, including to strengthen ward environment management, sterilization management of indwelling catheter, nursing and completes the hand hygiene and reasonable use of antibiotics.
出处
《西部医学》
2016年第8期1147-1149,1153,共4页
Medical Journal of West China
基金
陕西省科学技术研究发展计划项目(2013k14-02-24)
关键词
髋部手术
危险因素
预防控制
Hip surgery
Risk factors
Prevention and control
