2005-2010年综合医院医院感染情况分析

Nosocomial infections in a general hospital from 2005 to 2010

目的了解和掌握某综合医院2005-2010年的医院感染情况,为有效地做好医院感染控制与管理工作提供理论依据。方法对2005-2010年在该院住院的所有患者的医院感染情况进行回顾性调查分析。结果 6年共发生医院感染121例,各年度医院感染率比较差异有统计学意义(P<0.01);不同科室医院感染发生率不同,差异有统计学意义(P<0.01);感染部位居前3位的依次为下呼吸道、胃肠道、上呼吸道,分别占39.68%、22.22%、14.29%;不同季节住院患者医院感染发病率不同,差异有统计学意义(P<0.05)。结论加强重点科室及重点部位的医院感染管理,提高医院感染诊断水平和病原学送检率,开展目标性监测,是基层综合医院医院感染管理工作努力的方向。

OBJECTIVE To explore the status of nosocomial infections in a general hospital from 2005 to 2010,and provide theoretical basis for controlling nosocomial infections.METHODS A retrospective survey of the nosocomial infection status in all patients enrolled in the hospital from 2005 to 2010 was conducted.RESULTS There were 121 patients acquired nosocomial infections during the six years,and the difference in the rates of nosocomial infections among various years was statistically significant（P〈0.01）;the incidence of nosocomial infections among various departments was different with a statistical significance（P〈0.01）.The top 3 infection sites were the lower respiratory tract（39.68%）,gastrointestinal tract（22.22%）,and the upper respiratory tract（14.29%）.The incidence of nosocomial infections differed in seasons,and the difference was statistically significant（P〈0.05）.CONCLUSION The general hospital should make more efforts to control nosocomial infection,including strengthening the control of nosocomial infections in key departments and sites,improving diagnosis and the submission rate of etiology,and developing targeted monitoring.