住院患者医院感染的临床调查分析

Hospital Infection of Inpatients:An Analysis

目的 为了解本院住院患者医院感染发病情况 ,以加强对重点科室感染病原菌的监控 ,预防医院感染的发生。方法 采用纵向分析方法 ,对 2 0 0 0年 (7～ 12月 )与 2 0 0 2年 (7～ 12月 )的住院患者病历进行前瞻性和回顾性调查。结果 本院 2 0 0 2年 (7～ 12月 )与 2 0 0 0年 (7～ 12月 )相比 ,肿瘤科、血液科、消化内科医院感染发生率居于前位 ,并呈上升趋势 ,而呼吸内科医院感染发生率由 3 99%上升至 12 37% ,尤为明显 ;神经内科、外科、心内科医院感染发生率呈下降趋势。结论 通过定期监控及纵向同期分析比较 ,加强医护人员防护知识宣教 ,重视规范使用现代医疗技术及合理使用抗生素 ,减少不必要的侵袭性操作 ,有效地预防及控制医院感染的发生。

OBJECTIVE To give supervision to key departments, and better control the infected germs in order to take more effective measures to prevent infection occurrence in the hospital. METHODS An analysis was made on the basis of the survey involving the following two periods - the first period covered the second half of the year 2000 (from July 1,2000 to Dec 31,2000), and the second period covered the second half of the year 2002 (from July 1,2002 to Dec 31,2002). RESULTS The rates of the infected patients in the departments of respiration, tumor, blood, digestion were high and showed an increasing trend. The infection rate in the department of respiration was especially high-ascended from 3.99% in 2000 to 12.37% in 2002. The infection rate in the departments of neurology,surgery,cardiology showed a tend to decline. CONCLUSIONS The medical employees should receive better training of infection prevention; the modern medical treatment approaches and antibiotics be applied in a scientific and reasonable way; unnecessary invasive operation should be reduced.