某三级甲等医院住院患者医院感染分析

Analysis of nosocomial infection of a three A-level hospital

目的了解医院感染的现状，分析医院感染的危险因素，为减少院内感染的发生提供科学依据。方法对某三甲医院2008年7月—2009年6月33774例住院患者进行回顾性分析。结果出现医院感染862例，感染率2．55％，ICU感染率最高，为41．43％；易感年龄为60岁以上和1岁以下，感染率分别为4．00％和3．54％；住院时间超过20d的患者感染率可达10．66％。结论医院感染的发生与患者年龄、基础疾病、侵袭性操作、住院时间、抗菌药物不合理使用等因素有关。

Objective To investigate the incidence of nosocomial infection （NI） in the hospital, analyze the related factors, and provide a scientific basis for reducing the incidence of NI. Methods A total of 37 744 inpatients from Jul 2008 to Jun 2009 were retrospectively analyzed, of which 862 inpaticnts suffering from NI. Results The rate of NI was 2.55%, the highest infected rate was in ICU（41.43% ）. The susceptible ages were 60 above and 1 below, the infection rates were 4. 11% and 3. 36%. The infection rate of patients hospitalized for more than 20 d was 10.66%. Conclusions The rate of NI was 2.55%, the highest infected rate was in ICU（41.43% ）. The susceptible ages were 60 above and 1 below, the infection rates were 4.11% and 3.36%. The infection rate of patients hospitalized for more than 20d was 10.66%.