临床微生物检验控制医院内感染有效性及临床意义.docVIP

临床微生物检验控制医院内感染的有效性及临床意义 　　【摘要】 目的：探究临床微生物检验在控制医院内感染的有效性及临床意义。方法：选取2013年1月-2015年1月笔者所在医院收治的住院患者386例进行研究。将其随机均分为研究组和对照组各193例。两组的患者均给予常规基础性治疗并采取常规控制感染的措施，与此同时，研究组进行微生物检验，进而及时有效发现感染源、易感人群以及传播途径，根据检验结果采取相应的防控措施，以达到控制医院感染的目的。对照组则不进行检验。比较两组患者医院内感染的发生率及感染的严重程度。结果：研究组医院内感染的发生率（7.77%）明显低于对照组（28.50%），两组比较差异有统计学意义（P0.05）。对照组院感明显比研究组院感严重，两组比较差异有统计学意义（u=3.5899，P=0.0003）。结论：临床微生物检验能有效控制医院内感染的发生率以及感染严重程度，值得在医院广泛推广与应用。 　　【关键词】 微生物检验； 医院感染； 临床意义 　　中图分类号 R446.5 文献标识码 B 文章编号 1674-6805（2016）5-0069-02 　　【Abstract】 Objective：To investigate clinical significance of the clinical microbiology tests in the control of hospital infection and the effectiveness.Method：386 cases of hospitalized patients from January 2013 to January 2015 in our hospital were randomly divided into the study goup and the control group.Both groups were given treatment on a regular basis and take regular infection control measures，at the same time，the study group were treated with microbiological testing，and then promptly and effectively find the source of infection，susceptible populations and routes of transmission，and taken appropriate prevention and control based on test results measures to achieve the purpose of hospital infection control.The control group did not carry out inspection.Two groups were compared the incidence of nosocomial infection and the severity of the infection.Result：The incidence of hospital infection in the study group（7.77%） was significantly lower than the control group（28.50%），there was statistical significance（P0.05）.Hospital infection of the control group was significantly worse than the study group，there was statistical significance（u=3.5899，P=0.0003）.Conclusion：The clinical microbiological testing can effectively control the incidence of nosocomial infection and the severity of infection，it should be popularized and used in hospitals. 　　【Key words】 Microbiological examination； Hospital infection； Clinical significance 　　First-author’s address：Xinhua Hospital of Chengdu，Chengdu 61