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时间:2020-05-02
《全麻患者医院感染的临床分析及预防对策.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、[}1华医院感染学杂志2013年第23卷第19期ChinJNosocomiolVo1.23No.192013·论著·全麻患者医院感染的临床分析及预防对策刘彦,王舒,赵晓民(1.天津市职业病防治院麻醉科,天津300011;2.天津医科大学总医院麻醉科,天津300052)摘要:目的分析应用麻醉机全身麻醉患者发生医院感染的临床特点,并有针对性地提出预防对策,以降低医院感染发生率。方法选取因各种疾病行手术治疗,采用麻醉机全身麻醉的患者130例,随机分为观察组和对照组各65例,分别采用环氧乙烷消毒和含氯消毒液浸泡对各自的麻醉机及其组件进行消毒,对比两种消毒方式消毒后,麻醉机及其组件的细菌学检测结果以
2、及两组患者使用麻醉机全身麻醉后出现肺部感染的情况。结果对照组有9例患者发生肺部感染,感染率为l2.31,明显高于观察组的感染率1.54;用含氯消毒液浸泡消毒的合格率为86.15,明显低于采用环氧乙烷消毒的合格率98.46,其差异有统计学意义(P<0.05);医院肺部感染主要为革兰阴性菌感染,最常见的病原菌为铜绿假单胞菌。结论麻醉机及其组件是患者发生医院呼吸道感染的重要危险因素,对麻醉机及其组件进行严格、彻底的消毒,同时减少手术时间以及术中的创伤,提高患者的自身免疫能力,对减少麻醉机全身麻醉患者医院感染的发生有积极的意义。关键词:麻醉机全麻;医院感染;呼吸道感染;预防对策中图分类号:R181
3、.32文献标识码:A文章编号:1005-4529(2013)19-4671—03ClinicalanalysisofsystemicanesthesiapatientswithnosocomialinfectionsandpreventioncountermeasuresIIUYall。WANGShu,ZHAOXiao—min(*OccupationalDiseasePreventionandControlofHospitalinTianjin,Tianjin300011,China)Abstract:OBJECTIVEToanalyzetheclinicalcharacteristics
4、ofnosocomialinfectionsingeneralanesthesiapatientsandputforwardpreventivecountermeasuresSOastoreducetheincidenceofnosocomialinfections.METHODSTotally130patientstreatedwithgeneralanesthesiamachinewereselectedinthehospital,theywererandomlydividedintotheobservationgroupandthecontrolgroupwith65patients
5、ineachgroup.Theethyleneoxidesterilizationandchlorine—containingdisinfectantwereutilizedtOdisinfecttheanesthesiamachineanditscomponents,respectively,thebacterio1ogicaldetectionresultsofbothmethodswerecomparedafterthedisinfection.Anesthesiamachineanditscomponentsofbacteriologytestresults,andtWOgroup
6、sofpatientswithpulmonaryinfectionaftergeneralanesthesiaforanesthesiamachinewereanalyzed.RESULTSInthecontrolgroup,9patientshadlunginfectionswiththeinfectionrateof12.31,thenumberwassignificantlyhigherthanthatintheobservationgroupwiththeinfectionrateof1.54,thequalifiedrateofchlorinedisinfectionwas86.
7、15,itwassignificantlylowerthanthatoftheepoxyethanedisinfection(98.46),thedifferencesweresignificant(P<0.05).Thegram—negativebacteriawerethemainpathogenscausingthenosocomialpulmonaryinfections。amongwhichthePseudom
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