2008-2009年中医医院医院感染调查分析及对策

Investigation and analysis of nosocomial infections in a traditional Chinese medicine hospital and its countermeasures from 2008 to 2009

目的探讨住院患者医院感染的临床特点及影响因素,以采取有效防治措施。方法对2008年1月-2009年12月19 060例住院患者进行回顾性调查分析。结果发生医院感染597例;感染发生率为3.1%,其中,2008年为2.4%,2009年为3.9%;感染率排在前5位的科室是脑外科、胸外科、肿瘤内科、肾病内科、泌尿外科,分别为9.9%、8.9%、6.2%、5.2%、4.4%。结论医院感染与患者的病情、住院环境、住院时间、侵入性操作、抗菌药物应用不合理等因素有关,针对易感因素,制定预防对策,努力降低感染率。

OBJECTIVE To investigate the clinical features and impact factors for nosocomial infections among inpatients in a traditional Chinese medicine hospital,so as to take effective measures for prevention.METHODS A total of 19 060 case-times of inpatients were retrospectively analyzed from Jan.2008 to Dec.2009.RESULTS Nosocomial infections occurred in 597 case-times of patients,with the incidence of infection of 3.1%,2.4% in 2008 and 3.9% in 2009.The top 5 infection rates occurred in department of neurosurgery,department of thoracic surgery,department of internal oncology,department of internal nephrology,and department of urologic surgery.CONCLUSION Hospital infections are closely related to the condition of the patients,the hospital environment,hospitalization time,invasive operations,and irrational use of antibiotics and so on,according to those susceptibility factors,preventive measures should be formulated to reduce infection rate.