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目的研究宁波戒毒研究中心戒毒病房院内感染的临床特点,探讨进行控制的有效措施。方法采用回顾性分析的方法,对戒毒病房2012年1月-2013年12月共60例院内感染病例的临床特征、病原菌构成、危险因素等进行统计分析。结果统计期内院内感染发病率为8.82%。以呼吸道感染为主,主要病原菌为金黄色葡萄球菌、肺炎克雷伯菌及大肠埃希菌。海洛因依赖患者年龄、毒品(海洛因)使用量、吸毒方式和年限、脱毒方法等为戒毒病房院内感染的危险因素。结论建立完善的戒毒病房医院感染管理制度,针对危险因素和高危海洛因依赖患者采取积极的综合管理及防控措施是控制戒毒病房海洛因依赖患者院内感染的关键。
Objective To study the clinical characteristics of nosocomial infection in rehabilitation center of Ningbo Drug Addiction Treatment Center and to explore effective measures for its control. Methods A retrospective analysis was conducted to analyze the clinical characteristics, pathogens composition and risk factors of 60 nosocomial infections in rehabilitation wards from January 2012 to December 2013. Results The incidence of nosocomial infections in the statistical period was 8.82%. Mainly respiratory infections, the main pathogens Staphylococcus aureus, Klebsiella pneumoniae and Escherichia coli. Age of heroin addicts, drugs (heroin) use, drug use methods and years of life, detoxification methods are the risk factors for nosocomial infections in drug abstinence wards. Conclusion The establishment of a sound management system for hospital infection in drug rehabilitation wards and the active management and prevention and control of risk factors and high-risk heroin dependence are the keys to control nosocomial infections in heroin addicts.