基层医院多重医院感染的调查分析

Multiple Hospital Infection in Grass-roots Hospitals:A Retrospective Survey and Analysis

目的研究分析基层综合性医院多部位、多重医院感染的临床特点,为预防与控制多重医院感染提供科学的临床依据。方法采用回顾性的调查方法,对医院2005-2007年的住院患者多重医院感染进行统计学分析。结果医院感染1072例,感染率为4.26%,多重医院感染81例,占医院感染的7.56%;发生多部位感染193例次,占医院感染的18.00%,多重医院感染培养213株病原菌;危险因素基础疾病75例,抗菌药物应用74例,住院时间>30 d 66例,极危重症(ICU)60例;死亡率高达16.05%。结论医院感染控制较为稳定,但多重医院感染率逐年上升,临床工作将面临新的挑战和防范。

OBJECTIVE To investigate and analyze the clinic feature of multi-site and multiple hospital infection in the grass-roots general hospitals, to provide a scientific clinical basis for its prevention and control. METHODS Using the retrospective survey method, the multiple hospital infection of in patients from 2005 to 2007 was analyzed. RESULTS There were 1072 cases of hospital infection （4. 26%）; 81 cases with multiple hospital infection （7.56%） and 193 cases with multi-site infection （18.00%）. A total of 213 pathogens were cultured. There were 75 cases with risk factors of underlying diseases, 74 cases were used antibiotics and 66 cases stayed in the hospital more than 30 days. There were 60 patients with critically ill and the death rate was 16. 05%. CONCLUSIONS Hospital infection is steady controlled, but the rate of multiple hospital infection is rising year by year, so clinical work will face the new challenges.