医院感染危险因素监测结果分析

Monitoring of risk factors for healthcare-associated infection

  • 摘要: 目的 了解医院感染危险因素监测结果及其与医院感染的关系,为科学预防和控制医院感染提供理论依据。方法 收集2018年7月-2019年6月内蒙古医科大学附属医院医院空气、物体表面、医务人员手卫生、消毒液、消毒内镜、透析用水染菌量、透析用水内毒素、灭菌器灭菌效果、无菌物品的监测培养结果为研究对象,对监测数据进行统计,分析监测结果,并探讨其与医院感染率的相关性。结果 共采集样本3 997份,其中合格样本3 953份,总合格率为98.90%。四个季度监测采样合格率总体呈上升趋势,且四个季度监测合格率(分别为97.55%、99.71%、99.32%、98.69%)总体比较差异有统计学意义(χ2=20.489,P<0.001)。不同监测项目中,消毒液、血液透析液、灭菌器灭菌效果、无菌物品监测合格率均为100%,物体表面、医务人员手卫生监测合格率呈上升趋势,但空气和消毒内镜监测合格率呈下降趋势。随着医院感染危险因素监测合格率逐渐升高,医院感染率总体呈现下降趋势,经Pearson相关性分析显示,二者呈负相关(r=-0.974,P<0.026)。结论 医院感染危险因素是医院感染防控工作的重要内容,开展相应监测,可及时发现医院感染的潜在风险,便于及早采取有针对性的措施并加以改进,避免医院感染不良事件。

     

    Abstract: OBJECTIVE To understand the correlation between the risk factors for healthcare-associated infections (HAI) and the HAI so as to provide theoretical basis for prevention and control of HAI. METHODS The results of monitoring and culture of the air, object surfaces, hands of health care workers, disinfectants, disinfected endoscopes, counts of contaminated dialysis water with bacteria, endotoxin content in dialysis water, sterilization effect of sterilizers and sterilized articles were collected from the Inner Mongolia Medical University Affiliated Hospital from Jul 2018 to Jun 2019 and were recruited as the study objects, the monitoring data were statistically analyzed, the results of monitoring were analyzed, and the correlation between the results and the incidence of HAI was observed. RESULTS A total of 3 997 samples were collected, of which 3 953 were qualified, with the qualified rate 98.90%. The qualified rates of samples showed overall upward trends in the four quarters, the qualified rates of monitoring of the four quarters were respectively 97.55%, 99.71%, 99.32% and 98.69%, and there were significant differences (χ2=20.489,P<0.001). Among the different monitoring items, the qualified rates of monitoring of disinfectant, hemodialysis water, sterilization effect of sterilizer and sterilized articles were 100%, the qualified rates of object surfaces and hands of health care workers showed upward trends, while the qualified rates of air and disinfected endoscopes showed downward trends. With the gradual rise of qualified rate of monitoring of the risk factors for HAI, the incidence of HAI showed an overall downward trend. Pearson correlation analysis indicated that the two were negatively correlated (r=-0.974,P<0.026). CONCLUSION It is a major task to monitor the risk factors for HAI during the prevention and control of HAI, which may facilitate the timely identification of potential risk for HAI so as to take targeted interventions and avoid adverse events such as HAI.

     

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