综合性医院171例医院感染病例临床分析

Hospital Infection in General Hospital:A Clinical Analysis of 171 Cases

目的了解医院住院患者医院感染发病状况和影响因素,以便加强对重点科室感染动态监测,预测医院感染发生。方法监测医院2008年1～12月出院患者病历12543份,对所发生的医院感染171例病例进行前瞻性和回顾性调查分析。结果2008年医院感染率为1.4%,其中外一科和儿科是医院感染的高发科室,感染率分别为2.8%和2.4%;感染高发部位为呼吸道,其次为手术切口感染,大肠埃希菌已成为医院感染手术切口感染的主要致病菌。结论加强医护人员医院感染管理知识的培训,严格执行无菌技术操作,减少不必要的侵入性操作,儿科和普外科要作为重点监控科室,合理使用抗菌药物,及时、准确做好病原菌监测,是降低医院感染的有效措施。

OBJECTIVE To understand the origin of suffering in hospitalized patients,the hospital infection outbreak condition and the impact factors in order to strengthen the dynamic of infection monitoring in key depart ments and estimate the hospital infection occurrence. METHODS A total of 12543 medical histories of patients from hospital from Jan to Dec 2008 were surveyed discharged from them 171 cases with hospital infection was retrospectively and prospectively investigated and analyed. RESULTS The hospital infection rate in 2008 was 1.4%. The surgical department No1 and the department of pediatrics were with higher hospital infection rate （ 2.8% and 2.4%）; respectively. The respiratory tract infection was the top one,then was the surgical incision infection. The main pathogen of incision infection was Escherichia coli. CONCLUSIONS Strengthening the training about hospital infection management knowledge among medical starf,strictty performing the asebtic manipulations,decreasing the unnecessary invasive operation,reasonable usage antibiotics,and timely and accuratey monitoring,the pathogens in the key departments mentioned above,are the effective measures to lower the hospital infection incidence.