|
|
|
| Study on the Effective Control of Postoperative Pneumonia by Digital Hospital Sense Monitoring |
| CHI Shuijing, et al |
| Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000,China |
|
|
|
|
Abstract Objective: To reduce the incidence of nosocomial infections by monitoring the occurrence of nosocomial infections in thoracic surgery and formulating corresponding prevention and control and intervention measures. Methods: Targeted surveillance of nosocomial infections was performed on all patients admitted to thoracic surgery in 2019. The whole process was divided into 4 stages: data and statistics collection, prevention and control measures formulation, field intervention, and results feedback. Statistical analysis was performed using SPSS19.0 software. Results: By selecting 1020 patients admitted to thoracic surgery from January to December 2019, the incidence of nosocomial infection, pathogen distribution, infection site and route were monitored and recorded. Secondly, according to the monitoring results, formulate prevention and control measures and implement specific intervention measures. Finally, evaluate, improve and feedback the intervention results. Through monitoring the incidence of nosocomial infection in thoracic surgery, the corresponding prevention, control and intervention measures were formulated to reduce the incidence of nosocomial infection. Using digital hospital sense monitoring management, the incidence of nosocomial infection in thoracic surgery was significantly reduced, but there was no statistical difference (3.52% vs 2.94%, χ2= 0.138 P>0.05); the surgical site infection rate (SSI) was significantly reduced, with statistical difference (4.35% vs 3.85%, χ2=0.048, P<0.05); the incidence of postoperative pneumonia (POP) was from (5.8% vs 2.56%, χ2= 0.368, P>0.05). The main infection was pop and SSI, 8 cases of SSI, accounted for 0.78%, 16 cases of pop, accounted for 1.18%;. The main pathogens were gram negative bacteria, including 9 Pseudomonas aeruginosa (26%), 8 Klebsiella pneumoniae (23%). Conclusion: The implementation of digital nosocomial surveillance management measures can effectively improve the level of nosocomial infection diagnosis and reduce the incidence of related nosocomial infections.
|
|
|
|
|
|
[1] 梁敏.数字化医院感染目标性监测在神经外科重症监护病房医院感染管理中的应用效果[J].临床合理用药杂志,2019,12(11):176~178.
[2] 胡晓燕.急诊重症监护病房医院感染的危险因素与防范措施[J].中医药管理杂志,2018,20(7):201~203.
[3] 中华医学会呼吸病学分会感染学组.中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南(2018年版)[J].中华结核和呼吸杂志,2018,41(4):255~280.
[4] 斯娜佳,周建妹,陈月华,等.ICU患者导管相关医院感染病原菌特点及目标性监测[J].中华医院感染学杂志,2018,28(4):527~530.
[5] 中华预防医学会医院感染控制分会第四届委员会.术后肺炎预防和控制专家共识[J].中华临床感染病杂志,2018,11(1):11~19.
[6] Russotto V, Sabate S, Canet J. For the Periscope group of the european society of anaesthesiology (ESA) clinical trial network. development of a prediction model for postoperative pneumonia: a multicentre prospective observational study[J].European Journal of Anaesthesiology,2019,10(2):93~104.
[7] 中华医学会外科学分会外科感染与重症医学学组,中国手术部位感染预防指南[J].中华胃肠外科杂志,2019,22(4):301~314.
[8] Ling, et al. APSIC guidelines for the prevention of surgical site infections[J].Antimicrobial Resistance and Infection Control,2019,8(3):174.
[9] Centers for disease control and prevention guideline for the prevention of surgical site infection[J].JAMA Surgery,2017,(8):724~791.
[10] 陶明,王志明.《外科手术部位感染的预防指南(2017)》更新解读[J].中国普通外科杂志,2017,2(7):821~824. |
|
|
|
2020, Vol. 26 
