五年住院死亡病例医院感染分析

Analysis About The Death Characteristics Of Hospital Infection Among 5 Years

目的探讨住院死亡病例医院感染特点。方法查阅、统计2003～2007年本院全部死亡病例病历资料727例,进行回顾性调查。结果727例死亡病例中,发生医院感染69例,感染率9.49%。感染部位以呼吸道最高,为25.11%;其次是泌尿道,为17.86%;随着年龄增长和住院时间越长感染率越高;感染科室以综合科为最高,占19.10%;季节分布不明显;感染细菌以G-菌为主,尤以大肠埃希菌占多数。结论医院感染死亡病例与原发慢性病重,年龄偏大、住院时间长、滥用抗菌素关系密切。加强医院感染管理;针对各种相关因素采取相应措施,减少医院感染死亡发生。

Objective The purpose is to discuss the death eharacteristics of hospital infection. Methods 727eases of hospital medical death from 2003 to 2007 are retrospective investigated and analyzed. Results Among all these eases resulting in death, 69 cases of infection in hospitals, with the infection rate of 9. 49%. Respiratory infection sites to the highest, 25. 11 percent, followed by the urinary traet, to 17.86 percent. And with age and length of stay getting longer, the higher the rate of infection will be occurred. Sections of an integrated Braneh as the highest, accounting for 19. 10%. But the seasonal distribution was not obvious. Bacterial infection is oriented to G -, espeeiaUy to eoli in the majority. Conclusion The conclusion is hospital infection death eases have significant relations with chronic diseases d the origi- nal weight, large age, long hospital stay, and the abuse of antibioties. So the hospital infection control should be strength- ened; corresponding measures against all relevant factors should be taken to reduce hospital infection deaths occurred.