101例重型肝炎患者医院感染情况分析及控制对策

Analysis on 101 severe hepatitis cases for the hospital infection and control measures

目的分析101例重型病毒性肝炎患者医院感染的病原、部位及特征,探讨有效的预防和控制措施。方法应用回顾性调查方法,对芜湖第三医院2005年1月～2006年12月住院的重型感炎患者住院期间发生的医院感染情况进行统计和分析。结果本组重型肝炎患者医院感染例次率为54.6%,致病菌以革兰阴性菌为主。感染部位依次为腹腔(33.9%),胃肠道(22.6%),呼吸道(8.2%)。结论医院感染是重型肝炎常见并发症之一,严重影响病情的预后。严格无菌诊疗操作,根据药敏结果合理使用抗菌药物,可以有效的预防和控制医院感染的发生。

Objective To analyze the pathogen, location and feature for the hospital infection on the 101 cases hospitalized with severe hepatitis, and probe effective measures for the prevention and control. Methods With the method of retrospective survey, the situation of hospital infection for the cases with severe hepatitis hospitalized fi＇om January of 2005 to December of 2006 in Wuhu Third People＇s Hospital was analyzed. Results The infection rate （ cases and times） of the 101 cases was 54.6% and the main pathogen was gramneagtive bacterium. The infection location was abdominal cavity （33.9%）,gastrointestinal tract（22.6%）and respiratory tract （8.2%） successively. Conclusion The hospital infection was one of the main complications for the severe hepatitis, which affected the prognosis of the disease. It may prevent and control the occurrence for the hospital infection effectively with rigorously aseptic manipulation in diagnosis and treatment, and use antibiotic therapy reasonably based on the result of drug sensitive test.