心外科实施医院感染干预措施的效果

武迎宏; 郝秋星; 李冬梅; 王守军

doi:10.3969/j.issn.1674-9081.2012.03.013

心外科实施医院感染干预措施的效果

Effectiveness of Nosocomial Infection Control in Cardiac Surgery

摘要

摘要:
目的评估感染控制干预措施在预防心外科医院感染中的有效性。
方法收集北京大学人民医院2007年1月至2009年12月间外科病历资料, 自2008年5月起对心外科医院感染开展目标性监测, 并针对问题和风险实施感染控制措施干预, 至2009年所有措施得到落实。比较采取干预措施前后感染发生率的变化。
结果 2007年和2008年心外科住院患者医院感染发生率较高, 分别为6.07%和7.56%, 而同期外科系统医院感染发生率分别为1.34%和1.38%。采取一系列感染控制干预措施之后, 2009年心外科医院感染发生率下降为3.62%, 与干预前相比差异有统计学意义(χ²=7.584, P=0.006)。
结论心外科患者处于医院感染的高危状态, 采取积极有效的感染控制干预措施可有效控制并降低心外科医院感染发生率。

Abstract:
Objective To evaluate the effectiveness of nosocomial infection control in cardiac surgery.
Methods We collected records of surgical cases between January 2007 and December 2009 in People's Hospital of Peking University and analyzed the status of nosocomial infection in cardiac surgery before and after intervention, which was initiated in May 2008 and fully implemented since 2009. The nosocomial infection rate before and after intervention was compared.
Results The rate of nosocomial infection in cardiac surgery was high in 2007 and 2008, reaching 6.07% and 7.56%, respectively. Meanwhile, the rate of nosocomial infection throughout the whole surgical system was 1.34% and 1.38%. After the adoption of intervention, the rate of nosocomial infection in cardiac surgery significantly decreased to 3.62% compared to the rate before intervention (χ²=7.584, P=0.006).
Conclusions Cardiac surgery patients have high risk of nosocomial infection. Taking appropriate intervention measures for nosocomial infection control can effectively reduce the rate of nosocomial infection in cardiac surgery.

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