103例医院感染病例误诊分析

Analysis on 103 misdiagnosed cases with nosocomial infection

目的了解医院感染误诊情况,以便采取相应整改措施,提高控制感染执行力。方法以卫生部《医院感染诊断标准》为标准,分析2008-2009年全院报告的医院感染卡。结果收集的831张医院感染病例报告卡中系误诊为医院感染的103张,误诊率为12.39%;内科误诊率(14.37%)高于外科(9.06%)(χ2=3.9733,P<0.05);工作年限≤10年的医师医院感染误诊率(8.30%)低于工作年限>10年者(14.31%)(χ2=4.7738,P<0.05)。结论造成医院感染误诊的主要原因是未正确掌握医院感染诊断标准,对误报率高的医师应加强培训、考核,医院感染专职人员加强沟通和信息反馈。

OBJECTIVE To find out the situation of hospital infection misdiagnosis, so as to promote measures to rectify and reform it, and to improve the infection control execution. METHODS A survey was made on the inaccurate reports of hospital infection from 2008 to 2009. RESULTS The rate of misdiagnosis of hospital infection was 12.39 %. The misdiagnosis rate in internal medicine department was higher than in surgery department （they were 14.37% and 9. 06% separately）（χ2=3. 9733, P〈0. 05 ）. The misdiagnosis rate in doctors whose work experience ≤10 years was lower than those 〉 l0 years ones（they were 8.30% and 14. 30% separately）（χ2= 4. 7738,P〈0. 05）. CONCLUSION The main reason of misdiagnosis is that the diagnostic criteria of hospital infection is not well grasped. The training, examining and message feedback should be strengthened to lower the rate of hospital infection misdiagnosis.