五年住院病人医院感染率分析

Analysis of nosocomial infection rate during five years

目的 :了解五年中医院感染的动态变化情况 ,为控制医院感染提供依据。方法 :科室自报和专职人员补漏相结合 ,发现医院感染病例 ,调查所有住院病人。结果 :1994年 7月～ 1998年 10月 ,某医院住院病人共计 5 9413例 ,发生医院感染 362 2例次 ,总医院感染率 6 10 % ,1994～ 1998年感染率分别为 8 0 5 %、7 98%、6 16%、4 97%、4 5 1% ,呈持续下降。部位例次感染率以上呼吸道最高 ( 2 67% ) ,手术伤口 ( 1 15 % )次之 ,下呼吸道感染率( 1 0 8% )居第三位 ,但不同年份的不同部位感染率的位次略有变化 ,外科、儿科、内科感染率分别为 9 0 3%、8 0 6%和 6 70 % ,居前三位。但不同年份不同科室所居位次变化较大。结论 :医院感染率的持续下降 ,原因是多方面的 ,但监测工作对感染率的降低所起的作用 ,是不容忽视的。在医院感染控制时应以上一年的监测结果为依据 ,把感染率最高的科室作为重点 ,查找其感染率高的原因 ,并采取相应控制措施 ,降低其医院感染率。这样交替进行 。

Objective: To study nosocomial infection rate in a hospital during five years.Methods: Nosocomial infection cases were found by report of each department and of infection nurses. All of inpatient were investigated.Results: 59,413 patients hospitalized in a hospital between 1994 to October 1998,3,622 patients suffered nosocomial infection, total nosocomial infection rate was 6.10%. The nosocomial infection rate during 1994-1998 was 8.05%, 7.98% 6.16%, 4.97%, 4.51% respectively. The infection rate in upper respiratory tract was highest (2.67%),the infection rate in surgical wound ranks second (1.15%) and the infection rate in lower raspiratory tract ranks third (1.08%) but the arrange of infection rate in difference position in each year had a little difference.Conclusion: Nosocomial infection surveillance is important reason why nosocmial infection reduces.