Objective:To investigate the risk factors of nosocomial infection in surgical wards, and to provide the theoretical support
for the prevention and control of nosocomial infection in the clinical surgical wards.Methods:8046 cases of surgical treatment of
surgical wards in our hospital were selected as the research objects of this study, among them, 253 cases were found with nosocomial infection.
Objective monitoring was used to carry out questionnaire survey on the risk factors of nosocomial infection in patients. Single
factor and multi factor non conditional Logistic regression analysis were used to select the risk factors of nosocomial infection in surgical
wards.Results:Single factor Logistic regression analysis showed that age, treatment specialist (cardio-thoracic surgery), treatment specialist
(neurosurgery), ICU, emergency surgery, hospitalization days of treatment, tracheal intubation general anaesthesia, incision type
(pollution), incision length, invasive operation, invasive operation time, antibacterial therapy, preoperative antibiotic therapy, preoperative
antibiotic treatment time, postoperative antibiotic therapy, postoperative antibiotic treatment time were the risk factors of nosocomial
infection (P<0.05). Muti factor Logistic regression analysis showed that age, treatment specialist (cardio-thoracic surgery), treatment
specialist (neurosurgery), ICU, emergency surgery, hospitalization days of treatment, incision type (pollution), incision length, invasion
operation, invasive operation time, antimicrobial treatment were the risk factors of nosocomial infection (P<0.05).Conclusion:Nosocomial
infection in surgery ward is the result of joint action of various factors, we should develop the corresponding prevention and control
measures to against the risk factors of nosocomial infection in surgical wards, which has important significance to reduce the incidence of
hospital infection, prevention and control of nosocomial infection. |