医院感染5年动态监测结果与分析

Dynamic Monitoring of Hospital Infection in Five Years

目的通过连续5年医院感染监测,掌握其动态变化规律和特征,有效地做好医院感染控制与管理。方法采用前瞻性监测与回顾性调查相结合,将资料汇总进行统计分析。结果医院感染1008例,医院感染率2.63%,医院感染发生率5年呈平稳态势;感染部位以下呼吸道感染占首位,为46.33%,感染发病率最高为内科,为3.67%;病原菌共检出606株,其中革兰阴性杆菌占47.85%,革兰阳性球菌占14.52%,真菌占37.63%。结论加强医院感染管理,针对高危人群、高危科室、高危因素开展今后工作,是降低医院感染的有效措施。

OBJECTIVE To continuously monitor the hospital infection （HI） in five years in order to learn the rules of its dynamic movements and characters. METHODS The data were collected and analyzed by prospective monitoring combined with retrospective investigation. RESULTS 1008 patients were with HI, the infection rate was 2.63%. The main infection site was upper respiratory tract （46.33%）,and the department of internal medicine was with the highest incidence 3.67%. A total of 606 pathogens were identified,mostly were Gram-negative bacilli （47. 85%）, Gram-positive cocci （14. 52%） and fungi （37. 63%）. CONCLUSION After strengthening the nosocomial infection management and developing the work in accordance with the high-risk group, high-risk departments and risk factors can effectively reduce the HI.