某三级甲等医院医院感染的调查分析

Analysis and Intervention Strategies for Nosocomial infection at A First-class Tertiary Hospital

目的通过调查分析，找出医院感染的影响因素。方法采用回顾性研究方法，收集293例医院感染病例，应用病例对照法随机选择2008年至2009年未发生医院感染的286病例，作二分类Logistic回归分析。结果影响医院感染的因素有住院天数、ICU天数、年龄、输血量、病重天数、转科次数。结论为控制医院感染发生率，医院应严格院感制度，对高危险因素人群重点监测，并建立医院信息系统实时监控等。

Objective Through the investigation and analysis,Find the influencing factors of nosocomial infection,seek to control the incidence of nosocomial infection methods and countermeasures. Methods Use retrospective study to find 293 infection cases, and 286 normal cases,then process Logistie regression analysis of the second category. Results The influencing factors of nosocomial infection are： the number of days hospitalized, ICU days, age, blood transfusion,the number of days serious ill,the sections change times. Conclusion In order to control the incidence of nosocomial infection, focus on the crowd of high-risk factors, bring in the performance appraisal, establish the HIS to realtime monitor.