18071例住院患者医院感染调查及分析

Investigation and Analysis of 18071 Hospitalized Patients with Nosocomial Infection

目的了解基层医院住院患者引起医院感染的特点,为制定医院感染控制措施提供依据。方法对本院2012年1月~2013年9月出院患者进行前瞻性监测和回顾性调查相结合的方法调查医院感染情况。结果医院感染率1.26%,例次感染率1.28%;感染部位主要以呼吸系统感染为主,占82.68%,其中上呼吸道感染占17.75%,下呼吸道感染占64.94%,其次为泌尿系统感染占8.23%;科室感染率以综合ICU为最高为13.89%,排名第二为综合内科为5.14%;医院感染病原菌中以革兰阴性杆菌为主占71.43%。结论加强重点科室重点部位的感染控制,规范消毒隔离措施,提高标本的送检率,根据药敏实验合理使用抗菌药物,降低医院感染率。

Objective To understand the characteristics of hospital infection caused by hospitalized patients in primary hospital,provide the basis for hospital infection control measures.Methods In our hospital from 2012 January to 2013 September were prospective monitoring and retrospective investigation combined with hospital infection.Results The nosocomial infection rate was 1.26%,the infection rate was 1.28%cases;the main infection sites on respiratory system infection,accounted for 82.68%,of which the upper respiratory tract infection accounted for 17.75%,accounted for 64.94%of infection of the lower respiratory tract,fol owed by urinary system infection was 8.23%;the infection rate in ICU department for a maximum of 13.89%,ranking the second Department of internal medicine was 5.14%;hospital fungal infection with Gram negative bacil i accounted for 71.43%.Conclusion Strengthening the control of key sections of the key parts of the infection,disinfection and isolation measures to improve the specification,sample submission rate,according to the drug sensitive test of the rational use of antimicrobial drugs,reducing the rate of hospital infection.