儿科医院死亡病例医院感染的调查研究

A Survey of Nosocomial Infections of Death Cases in a Childrens Hospital

本文对儿科医院1984-1990年七年间全部住院死亡病例413例的医院感染状况进行了全面分析。医院感染率为25.91％,直接死于医院感染者占18.16％,以外科感染率最高(34.11％),其次为ICU(25.96％)传染科(24.14％),感染部位以下呼吸道为首(26.34％),其次为胃肠道(24.19％),败血症(19.36％),临床以革兰氏阴性杆菌最常见(63.71％)。住院时间越长,使用抗生素种类越多,医院感染机会也越多。本文还对儿童医院医院感染的特点进行了讨论。

A retrospective analysis of all death cases of 413during hospitalization period 1984-1990 was pres-ented Nosocomial infection (NI) rate was 25.91% withhigher prevalence of NI in certain patient care areas,surgical ward (34.11%), ICU (25.96%) and infectfodward (24.14%), NI caused death cases accounting for18.16%. Lower respiratory tract infection was themost frequent one (26.34%) followed bygastrointestinal tract infection (24.19%) and sepsis(19.36%). The causative agents most commonly re-sponsible for NI were Gram-negative bacilli(63.71%), It was concluded that the chances of NIwould be increased with prolongation ofhospitalization and administration of several antibiot-ics. The nature of NI in a children's hospital was alsodiscussed.