2010～2012年淄博市某医院住院患者医院感染监测分析

Analysis on Monitoring of Nosocomial Infections Among Hospitalized Patients in a Hospital of Zibo City,2010-2012

目的了解医院感染的现况，为提高医院感染管理的水平及加强医院感染控制提供科学依据。方法对2010-2012年淄博市第四人民医院的住院患者医院感染监测信息进行分析。结果监测16679份病历，发生医院感染279例，感染率为1．67％。医院感染发生率，2010-2012年分别为1．56％、1．62％和1．82％（P〉o．05）；男性、女性分别为1．58％、1．78％（P〉0．05）；1～20岁为0．77％、21～30岁为0．39％、31～40岁为0．76％、41～50岁为1．12％、51～60岁为2．29％、61～70岁为2．33％、71～93岁为3．80％（P〈O．01）。279例中，肿瘤科、传染科、内科感染的较多，分别占67．03％、19．35％、7．53％；感染部位主要是下呼吸道、上呼吸道、腹腔、泌尿系、胃肠道，分别占44．45％、24．73％、8．24％、8．24％、7．53％。结论2010-2012年淄博市第四人民医院医院感染率较低。

Objective To understand the present status of nosocomial infections,in order to provide scientific basis for the management and control of nosocomial infections. Methods Analysis was made on the monitoring data of noso- comial infections in the Fourth People＇s Hospital of Zibo city,during 2010-2012. Results Of 16 679 medical records ana- lyzed,the total incidence of nosocomial infection was 1.67%. The annual incidence of nosocomial infection in 2010-2012 was 1.56% ,1.62% and 1. 82%,respectively （ P 〈0. 05）. And the male and female incidence of nosocomial infection was 1. 58%and 1.78%, respectively （ P〈 0.05）. The age-specific incidences were 1-20, 0.77%; 21 30, 0.39%; 31 40, 0.76% ;41-50,1.12% ;51-60,2.29% ;61-70,2.33% ;and 71-93,3.80%,respectively （ P 〈0.01）. The total nosocomial infections were 279 cases, which were mainly found in oncology department （67.03%）, infectious disease department （19.35 % ） and internal medicine department （7.53 % ）, with lower respiratory tract infection （44.45 % ）, upper respiratory tract infection （24.73 % ）, intra-abdominal infection （8.24% ）, gastrointestinal infection （8.24 %） and urinary tract infec tion （7.53 %）. Conclusion The incidence of nosocomial infection is relatively low in the Fourth People＇s Hospital of Zi- bo city during 2010 2012.