7057例住院患者医院感染调查分析

Nosocomial lnfections of Inpatients A Clinical Investigation and Analysis of 7057 Cases

目的:了解住院患者医院感染状况及其影响因素。方法:对我院2004年7057例住院患者进行回顾性监测。结果:2004年医院感染病例217例,感染率为3.1%,精神病科和神经外科患者是医院感染的高发人群,呼吸道是院内感染的高发部位。临床分离的致病菌中革兰阴性菌占58.1%、革兰阳性菌占38.4%、真菌占3.5%,主要菌株为克雷伯菌属、CNS和聚团肠杆菌。结论:加强医务人员医院感染管理知识培训;精神病科和神经外科应作为重点监控科室;合理使用抗生素是当前预防医院感染的关键。

Objective To investigate nosocomial infection rate and related factors. Methods To retrospective survey 7057 patients in our hospital from jan to dec of 2004,Results There were 217 patients of nosocomial infection,Nosocomial infection rate was 3.1%. Neurosurgical patients were the mian components. Respiratory tract was the most common infective site. Among bacteria isolated from clinical cases,58.1% were G^- , 38.4% were G^＋ , 3.5% were fungi, the most pathogens were Klebsiella,CNS and Ent. agglomerens. Conclusion Nosocomial infection management and medical worker training must be improved. Neurosurgical department is the key control unit. The rational use of antibiotic is key of preventing nosocomial infection.