妇产科院内感染的调查分析

Investigation and analysis on nosocomial infection in an obstetrical and gynecological department

目的通过对妇产科医院感染现状的调查分析，促进本科室医院感染的预防控制。方法：采用回顾性调查研究方法，分析2010～2012年某医院妇产科住院患者发生感染的病例，了解医院感染的基本情况。结果：2010—2012年妇产科出院患者13 043人，发生感染225人，感染率1．73％；易感部位主要是上呼吸道，达到36％，病原菌主要为革兰氏阴性杆菌，各病原菌总体耐药性较强。结论：当前妇产科感染率呈上升趋势，可能与科室加强监测报告有关，对于患者易感部位、病原菌的耐药性仍需加强监测分析，严格控制感染的发生，确保医疗安全。

Objective To investigate and analyze the current situation of nosocomial infection in a obstetrical and gynecologicalhospital, in order to promote control and prevention of nosocomial infection. Methods： The hospitalized patients with nosocomial infection ina obstetrical and gynecological hospital from 2010 to 2012 were analyzed by retrospective investigation to understand the basic situation ofnosocomial infection. Results： A total of 13 043 patients in obstetrical and gynecological department from 2010 to 2012 left the hospital, 225patients were diagnosed as nosocomial infection, the incidence rate was 1.73% ; the main type was upper respiratory tract infection, accounting for 36%, the main pathogen was Gram -negative bacillus; overall, the drug resistance of various pathogens was high. Conclusion： Theincidence rate of nosocomial infection in a obstetrical and gynecological department shows an increasing trend, which may be correlated withenhancement of monitoring and report; for the parts of the susceptible patients, drug resistance monitoring and analysis of pathogenic bacteriashould be strengthened to control the occurrence of nosocomial infection strictly and ensure medical safety.