口腔颌面外科住院患者的医院感染监测与控制

doi:10.12337/zgkqjxjyzz.2025.02.003

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (2): 76-82.DOI: 10.12337/zgkqjxjyzz.2025.02.003

口腔颌面外科住院患者的医院感染监测与控制

徐丹慧^#, 丁建芬^#, 林海燕, 胡凯, 辛子熙, 刘翠梅, 朱洪平^*

北京大学口腔医学院·口腔医院医院感染管理与疾病控制处,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心

发布日期:2025-03-31
通讯作者: ^*朱洪平,联系方式：010-82195133,电子邮箱：zhuhongping@cndent.com,通讯地址：北京市海淀区中关村南大街22号,100081
作者简介:^#共同第一作者

Surveillance and Control of Hospital Acquired Infections in Inpatients of Oral and Maxillofacial Surgery Department

Danhui Xu^#, Jianfen Ding^#, Haiyan Lin, Kai Hu, Zixi Xin, Cuimei Liu, Hongping Zhu^*

Department of Healthcare-associated Infection Management and Disease Control, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, P.R. China.

Published:2025-03-31
Contact: ^*Hongping Zhu. Tel: 010-82195133. Email: zhuhongping@cndent.com. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China.
About author:^#These authors contibute equal to this manuscript.

摘要/Abstract

摘要： 目的: 本文旨在分析口腔颌面外科住院患者医院感染特征并提出适宜的防控策略。方法: 回顾2018年1月至2024年12月在北京大学口腔医院口腔颌面外科病区住院并接受手术的49815名患者的医院感染、病原学检测数据及2024年肺部感染目标性监测数据,分析口腔颌面外科住院患者医院感染特点及控制对策。结果: 口腔颌面外科住院患者常见医院感染类型为手术部位感染及肺部感染,常见医院感染病原体为铜绿假单胞菌、肺炎克雷伯菌、草绿色链球菌,多重耐药菌总体检出率为13.45%,大肠埃希菌的耐药检出率最高。结论: 有效的医院感染控制有赖于积极开展医院感染监测,显现感染特点和感染风险,为实现感染控制目标提供基础。

关键词: 口腔颌面外科, 感染控制, 医院感染, 监测, 预防策略

Abstract: Objective: To understand the characteristics of hospital acquired infections in inpatients of the Oral and Maxillofacial Surgery Department and propose appropriate prevention and control strategies. Methods: The data on hospital acquired infections, etiological test results of 49,815 inpatients who underwent surgery in the Oral and Maxillofacial Surgery Ward of Peking University School and Hospital of Stomatology from January 2018 to December 2024, as well as the targeted surveillance data of pulmonary infections in 2024 were reviewed. The characteristics of hospital acquired infections in inpatients of the Oral and Maxillofacial Surgery Department and the control countermeasures were analyzed. Results: The common types of hospital acquired infections in inpatients of the Oral and Maxillofacial Surgery Department were surgical site infections and pulmonary infections. The common pathogens of hospital acquired infections were Pseudomonas aeruginosa, Klebsiella pneumoniae, and Streptococcus viridans. The overall detection rate of multidrug-resistant bacteria was 13.45%, and the detection rate of drug-resistant Escherichia coli was the highest. Conclusions: Effective hospital infection control relies on actively conducting hospital infection monitoring, revealing infection characteristics and risks, and providing a foundation for achieving infection control goals.

Key words: oral and maxillofacial surgery, infection control, hospital acquired infection, surveillance, prevention strategy

徐丹慧, 丁建芬, 林海燕, 胡凯, 辛子熙, 刘翠梅, 朱洪平. 口腔颌面外科住院患者的医院感染监测与控制[J]. 中国口腔医学继续教育杂志, 2025, 28(2): 76-82.

Danhui Xu, Jianfen Ding, Haiyan Lin, Kai Hu, Zixi Xin, Cuimei Liu, Hongping Zhu. Surveillance and Control of Hospital Acquired Infections in Inpatients of Oral and Maxillofacial Surgery Department[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(2): 76-82.

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口腔颌面外科住院患者的医院感染监测与控制

Surveillance and Control of Hospital Acquired Infections in Inpatients of Oral and Maxillofacial Surgery Department

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