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消化内镜医院感染相关危险因素与管理对策分析

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目的 分析消化内镜医院感染相关危险因素与管理对策.方法 选取2022年2月—2024年1月徐州市贾汪区人民医院的155份消化内镜样本,根据有无感染将其分为非感染组(119份)、感染组(36份),对比非感染组、感染组样本清洗时间、检查人次数量、操作不当、干燥保存、多酶洗液正确使用,并应用Logistic回归分析感染的影响因素.结果 非感染组样本清洗时间明显长于感染组,检查人次数量显著低于感染组,且操作不当、干燥保存、多酶洗液正确使用均优于感染组,差异有统计学意义(P均<0.05).多因素Logistic回归分析显示,清洗时间不足、操作不当、检查人次数量过多是发生医院感染的独立危险因素(OR=1.094、2.619、1.399,P均<0.05),正确干燥保存、多酶洗液正确使用是发生医院感染的保护因素(OR=0.892、0.914,P均<0.05).结论 清洗时间、检查人次数量、操作不当、干燥保存、多酶洗液正确使用是影响感染发生的重要因素,在消化内镜医院感染中需积极加强内镜消毒管理工作,严格按照无菌操作规范,最大限度降低感染发生率.
Analysis of Risk Factors Related to Hospital Infection in Digestive Endos-copy and Analysis of Management Countermeasures
Objective To analyze the risk factors related to hospital infection in digestive endoscopy and management countermeasures.Methods 155 digestive endoscopy samples from Xuzhou Jiawang District People's Hospital from February 2022 to January 2024 were selected and divided into non-infection group(119)and infection group(36)ac-cording to the presence or absence of infection.Sample cleaning time,number of examination visits,improper opera-tion,dry storage,and correct use of multi-enzyme wash were compared between the non-infection group and the infec-tion group,and logistic regression was applied to analyze the influencing factors of infection.Results The sample cleaning time of the non-infection group was significantly longer than that of the infection group,the number of exami-nation visits was significantly lower than that of the infection group,and mishandling,dry preservation,and the correct use of multi-enzyme wash were better than that of the infection group,and the differences were statistically significant(all P<0.05).Multifactorial logistic regression analysis showed that the insufficient cleaning time,improper handling,and excessive number of examination visits were independent risk factors for the occurrence of hospital-acquired in-fections(OR=1.094,2.619,1.399,all P<0.05),while correct drying and storage,and proper use of multienzymatic washes were protective factors for the occurrence of hospital-acquired infections(OR=0.892,0.914,both P<0.05).Conclusion Cleaning time,the number of examination visits,improper operation,dry preservation,and the correct use of multi-enzyme wash solution are important factors affecting the occurrence of infection,and it is necessary to ac-tively strengthen the management of endoscopic disinfection in hospital infections of digestive endoscopy,and strictly follow the aseptic operation norms to minimize the incidence of infection.

Digestive endoscopyHospital infectionRisk factorsManagement countermeasures

刘静、孙露露、王艳斌

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徐州市贾汪区人民医院感染管理科,江苏 徐州 221000

徐州市贾汪区人民医院消化内科,江苏 徐州 221000

消化内镜 医院感染 危险因素 管理对策

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(6)