Volume 19 Issue 2
Feb.  2021
Turn off MathJax
Article Contents
ZHANG Li-ping, LOU Zhi-ping. Risk factors of cross-infection in orthodontic patients and predictive nursing intervention[J]. Chinese Journal of General Practice, 2021, 19(2): 320-323. doi: 10.16766/j.cnki.issn.1674-4152.001799
Citation: ZHANG Li-ping, LOU Zhi-ping. Risk factors of cross-infection in orthodontic patients and predictive nursing intervention[J]. Chinese Journal of General Practice, 2021, 19(2): 320-323. doi: 10.16766/j.cnki.issn.1674-4152.001799

Risk factors of cross-infection in orthodontic patients and predictive nursing intervention

doi: 10.16766/j.cnki.issn.1674-4152.001799
Funds:

 2019KY233

  • Received Date: 2020-08-31
    Available Online: 2022-02-19
  •   Objective  To analyse the risk factors of cross-infection in orthodontic patients and to develop relevant predictive nursing intervention measures.  Methods  A total of 68 patients with cross-infection who received orthodontic treatment in our hospital from March 2017 to December 2019 were selected as the infection group, and 70 patients without cross-infection in our hospital during the same period were selected as the control group. The etiological distribution of infection group was analysed, and the related factors that may lead to cross-infection in patients with general information, disease data, and treatment related data were counted.  Results  A total of 134 strains of gram-negative bacteria (79.3%) were detected in the infection group. Most of them were Actinobacillus actinomycetemcomitans, Fossett's bacteria, and Porphyromonas gingivalis. A total of 35 strains (20.7%) were gram-positive bacteria. Most of them were oral Streptococcus, Staphylococcus aureus, and Staphylococcus epidermidis. Univariate analysis showed significant differences in age, diabetes mellitus, non-use of disposable instruments, unqualified disinfection of instruments, nonstandard operation of doctors, low level of protection awareness of medical staff, and substandard disinfection of air and environment between the two groups (all P < 0.05). Results of multivariate logistic analysis showed that significant differences were observed between the two groups in terms of age, diabetes mellitus, and non-use of disposable instruments and devices. The risk factors of cross-infection in orthodontic patients were as follows: unqualified mechanical disinfection, nonstandard operation of doctors and nurses, low level of protection awareness of medical staff, and substandard air and environment disinfection (all P < 0.05).  Conclusion  The main pathogen of cross-infection in orthodontic patients is gram-negative bacteria. Many risk factors lead to infection in patients. Predictive nursing intervention should be performed to improve prevention awareness.

     

  • loading
  • [1]
    DISHA S I, FURLANI B, DREVENSEK G, et al. The role of endothelin B receptor in bone modelling during orthodontic tooth movement: a study on ET B knockout rats[J]. Sci Rep, 2020, 10(1): 14226. doi: 10.1038/s41598-020-71159-8
    [2]
    USUI T, IWATA T, MIYAKE S, et al. Mechanical and frictional properties of aesthetic orthodontic wires obtained by hard chrome carbide plating[J]. J Dent Sci, 2018, 13(2): 151-159. doi: 10.1016/j.jds.2017.07.003
    [3]
    CHENG H C, PENG B Y, HSIEH H Y, et al. Impact of third molars on mandibular relapse in post-orthodontic patients: A meta-analysis[J]. J Dent Sci, 2018, 13(1): 1-7. doi: 10.1016/j.jds.2017.10.005
    [4]
    ALBERCONI T F, SIQUEIRA G L C, SATHLER R, et al. Assessment of orthodontic burden of care in patients with unilateral complete cleft lip and palate[J]. Cleft Palate Craniofac J, 2018, 55(1): 74-78. doi: 10.1177/1055665617718825
    [5]
    周静, 尹志国, 黄炜, 等. 2008~2012年我院常见细菌的分离及耐药性分析[J]. 西北药学杂志, 2013, 28(5): 527-530. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYZ201305034.htm
    [6]
    MANDELARIS G A, RICHMAN C, KAO R T. Surgical considerations and decision making in surgically facilitated orthodontic treatment/periodontally accelerated osteogenic orthodontics[J]. Clin Adv Periodontics, 2020, 10(4): 213-223. doi: 10.1002/cap.10116
    [7]
    GUTMANN J L, PALATYÑSKA-ULATOWSKA A. Historical perspectives on mechanical teeth separators -evolution and function[J]. J Hist Dent, 2020, 68(2): 101-109.
    [8]
    李艳萍, 罗玲, 丁农乐. 青少年口腔正畸后患者病原菌分布及对血清细胞因子水平影响的研究[J]. 临床和实验医学杂志, 2016, 15(15): 1539-1542. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC201615032.htm
    [9]
    宋生璋, 程楚昕, 阎转君. 老年口腔正畸感染者病原学分布及相关影响因素分析[J]. 实用老年医学, 2020, 34(3): 266-269. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA202003017.htm
    [10]
    黄婉灵, 林杭, 张泽标, 等. 口腔正畸科患者交叉感染影响因素分析及预防对策[J]. 中华医院感染学杂志, 2018, 28(21): 3301-3304. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201821026.htm
    [11]
    徐秋珍. 口腔正畸治疗交叉感染影响因素的调查分析[J]. 护理实践与研究, 2020, 17(12): 22-24. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202012008.htm
    [12]
    冯荣梅, 胡遥, 古文珍, 等. 循环风空气消毒机对牙周病科诊室空气消毒的效果观察[J]. 现代临床护理, 2019, 18(11): 74-77. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH201911018.htm
    [13]
    孙荣, 王娟, 梅予锋. 臭氧水溶液对口腔综合治疗台管道的消毒效果[J]. 口腔医学, 2020, 40(6): 521-525. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX202006009.htm
    [14]
    李香君. 社区口腔科门诊交叉感染危险因素调查与预防措施[J]. 护理实践与研究, 2020, 17(11): 121-122. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202011051.htm
    [15]
    石凤红. 细节管理在口腔科门诊医院感染控制中的应用效果[J]. 护理研究, 2017, 31(9): 1149-1150. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201709042.htm
    [16]
    柴琳琳. 品管圈活动在提高口腔科医院感染管理质量中的应用研究[J]. 山西医药杂志, 2018, 47(15): 1851-1853. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY201815050.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (132) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return