心胸外科住院患者医院感染调查及分析

Investigation and analysis of nosocomial infections in inpatients of cardiothoracic surgery department

目的分析胸外科住院患者医院感染的危险因素与预防措施。方法回顾性分析2008年2月-2010年11月胸外科1464份出院患者病历。结果 1464例患者中,发生医院感染76例,感染发生率为5.19%;下呼吸道感染占首位,其次为泌尿道感染、上呼吸道感染、消化道感染等;医院感染与老年人免疫力低下、住院时间长、抗菌药物应用、侵入性操作密切相关。结论胸外科患者医院感染的危险因素较多,加强对医院感染的监测,积极采取有效控制措施,控制医院感染。

OBJECTIVE To analyze the risk factors and prevention measures for nosocomial infections in hospitalized patients of cardiothoracic surgery department.METHODS A retrospective analysis of the medical records of 1464 patients who discharged between Feb 2008 and Nov 2010 was conducted.RESULTS Of 1464 patients investigated,nosocomial infections occurred in 76 cases with the incidence of 5.19%;the lower respiratory tract infections ranked the first place,followed by urinary tract infections,upper respiratory tract infections,and gastrointestinal tract infections;nosocomial infections were closely related to hypoimmunity of elder patients,long length of hospital stay,the use of antibiotics,and invasive operations.CONCLUSION There are so many risk factors for nosocomial infections that we should enhance the monitoring and take effective prevention measures so as to control nosocomial infections.