387例医院感染病例调查分析

Nosocomial Infection:Investigation and Analysis of 387 Cases

目的了解医院感染的发生情况,分析发生医院感染的相关因素,为更好地预防与控制医院感染提供依据。方法对2006年12月-2007年11月19203例住院患者进行回顾性调查分析。结果医院感染387例,医院感染率2.02%,ICU的感染率最高,为24.32%,感染部位以呼吸道为主,占57.58%;病原菌以革兰阴性杆菌为主,占52.00%。结论医院感染的发生与患者年龄、基础疾病、侵入性操作、抗菌药物不合理使用等因素有关。

OBJECTIVE To investigate the incidence of nosocomial infection （NI） in our hospital, analyze the related factors, and provide theoretical basis for better prevention and control of NI. METHODS A total of 19 203 inpatients from Dec 2006 to Nov 2007 were retrospectively analyzed, of which 387 inpatients suffering from NI. RESULTS The rate of NI was 2.02%, the highest infected rate was in ICU （24.32%）. The main infection site was respiratory tract （57. 58%）. The species were predominated by Gram-negatives （52.00%）. CONCLUSIONS The incidence of NI is connected with factors such as age, underlying diseases, invasive operation and the misusage of antibiotics.