医院感染2058例调查分析

Nosocomial infections:Investigation and analysis of 2058 cases

目的:探讨综合性医院住院患者医院感染的临床特点。方法:对42 288例住院患者中发生医院感染者进行回顾性调查。结果:发生医院感染2 058例,感染率4.87%,感染部位以下呼吸道为首位(33.47%),以ICU感染率为最高(39.45%)。病原体共检出485株,其中G-杆菌占42.89%,G+球菌占25.98%,真菌占31.13%。结论:加强医院感染管理,积极治疗原发病,减少侵袭性操作,合理应用抗菌药物是降低医院感染的有效措施。

Objective：To investigate the clinical feature of nosocomial infections in general hospital. Methods：A total of 42 288 cases of inpatients in past four years were retrospectively studied. Results：Of them 2 058 cases were infected, the incidence was 4.87%. The lower respiratory tract ranked the first place（33.47% ） and the highest infected rate was in ICU（ 39.45% ）. Total 485 isolates of bacteria were found, of which Gram-negative ones accounted for 42. 89% , Gram-positives 25. 98% , fungi were for 31. 13%. Conclusious：The conditional bacteria show an increasing trend in the nosocomial infections. Strengthening the nosocomial infection management,treating underlying disease actively, lessing invasive process, supervising towards bacteria, and using antibacterial drug rationally arc effective methods to reducing the rate of nosocomial infections.