摘要
目的为分析院内检验科出现感染的相关风险,制订相应的应对措施,完善院内检验科的工作和管理对策。方法选取我院2018年1月—2020年5月院内各个科室医护工作者的相关资料作为对照,共922人,对科室内医护工作人员的痰液样本进行取样和检测,分析和总结造成检验科院内感染的原因,制订相应的感染风险应对措施,与院内其他科室的感染风险发生情况进行对比。结果本院共有医护工作人员922人,出现院内感染者37人,院内感染发生率为4.01%。院内感染风险发生最高的三个科室分别是检验科、呼吸科、消化科,感染发生率分别为33.33%、8.42%、6.74%。与其他科室相比检验科的感染风险发生率较高,差异有统计学意义(P<0.05)。检验科医护人员感染致病菌群主要为葡萄球菌属、肺炎链球菌、流感嗜血菌、幽门螺杆菌、阴沟肠杆菌、肺炎克雷伯菌、结核分枝杆菌等。检验科医护工作者感染路径主要是工作意外和空气感染。结论检验科是院内感染高风险科室,感染路径主要是工作意外、空气感染,以此为依据制订具有针对性的感染风险预防对策有助于降低检验科工作人员的院内感染发生概率,提高检验科工作人员的人身健康。
Objective To analyze the risk of infection in nosocomial laboratory,formulate corresponding countermeasures,and improve the work and management of nosocomial laboratory.Methods The sputum samples of 922 medical staff in our hospital from January 2018 to May 2020 were sampled and tested to analyze and summarize the causes of nosocomial infection in the laboratory and formulate corresponding measures to deal with infection risk.The risk of infection was compared with other departments in the hospital.Results There were 922 medical workers in our hospital,37 patients were infected in hospital,and the incidence of nosocomial infection was 4.01%.The three departments with the highest nosocomial infection risk were laboratory department,respiratory department and gastroenterology department,and the incidence of infection was 33.33%,8.42%and 6.74%,respectively.Compared with other departments,the incidence of infection risk in the laboratory was higher,with statistical significance(P<0.05).The pathogenic bacteria of medical staff in the laboratory were mainly Staphylococcus,Streptococcus pneumoniae,haemophilus influenzae,Helicobacter pylori,Enterobacter cloacae,Klebsiella pneumoniae and Mycobacterium tuberculosis.The infection routes of medical workers in the laboratory were mainly work accidents and air infections.Conclusion Laboratory is a department with a high risk of nosocomial infection,and the infection routes are mainly work accidents and air infections.Based on this,the development of targeted infection risk prevention strategies can help reduce the incidence of nosocomial infection among laboratory staff and improve their personal health.
作者
姚雯颖
YAO Wenying(Laboratory Department,Shanghai General Team Hospital of Chinese People’s Armed Police Force,Shanghai 200000,China)
出处
《中国卫生标准管理》
2021年第20期111-114,共4页
China Health Standard Management
关键词
检验科
感染
隐患
风险
院内
医护人员
clinical laboratory
infection
hidden danger
risk
the court
medical staff
