住院患者医院感染病例调查及监测分析

Clinical investigation and monitoring of inpatients with nosocomial infection

目的为了预防和控制医院感染的发生,提高医院感染管理的质量。方法对2005-2008年13 736例住院患者进行回顾性调查分析。结果发生医院感染296例,感染率为2.15%;感染部位以呼吸道为首位,占53.72%,感染科室以内科发病率最高为7.11%;共检出61株病原菌,其中革兰阴性杆菌占49.18%,革兰阳性球菌占31.15%,真菌占19.67%。结论提高临床医院感染病例诊断水平及标本培养率、合理使用抗菌药物并采取有效的医院感染管理控制措施,住院患者的感染率才会得到更好的控制。

OBJECTIVE To prevent and control the occurance of nosocomial infection,and to improve the quality of nosocomial infection management.METHODS A total of 13736 cases of inpatients in recent four years were retrospectively investigated and analyzed.RESULTS Among them 296 cases were found nosocomial infected,and the rate of nosocomial was 2.15%,in which 53.72% was the respiratory tract infection,ranking the first place as far as the infection site was concerned.And internal medicine department had the highest infection rate of 7.11% as for the infection department.The total number of pathogen was 61,in which 49.18% strains was Gram-negative,31.15% strains was Gram-positive and 19.67% strain was fungi.CONCLUSIONS Effective measures should be taken,such as improving diagnostic level,increasing cultivating rate of sample,using antibiotic reasonably,identifying and controlling the risk factors of infection can effectively control nosocomial infection.