某综合医院住院患者医院感染监测报告

Monitoring report on nosocomial infection among inpatients in a general hospital

目的了解住院患者医院感染状况及其分布规律,确定医院感染的防控重点。方法采取回顾性调查方法,对某医院2013年度住院患者医院感染状况进行调查。结果 2013年全院共出院患者63 213例,发生医院感染461例,感染率为0.73%。医院感染发生率最高的科室为重症医学科,感染率为3.62%。在医院感染患者中,以呼吸道感染发生率最高,构成比为69.5%。全年从感染患者送检标本中共检出病原菌389株,革兰阴性菌占总数的66.1%,革兰阳性菌占19.5%,真菌占14.4%。结论该医院住院患者医院感染发生率较低,重症医学科为医院感染患者最集中的科室,应作为防控重点部位。

Objective To know the latest infection situation and distribution about inpatients,determine the key prevention of hospital infection. Methods Retrospective survey method was used to investigate the latest nosocomial infection of inpa- tients of 2013 in a hospital. Results There were 63 213 cases of patients discharged from hospital in 2013 and totally 461 patients occurred nosocomial infection, the infection rate was 0. 73%. The highest infection rate was found in the ICU while the rate was 3.62%. Among the hospital infection patients, respiratory tract infection has the highest rate of 69. 5%. 389 strains pathogenic bacterias were detected from specimens of patients with infection and Gram - negative bacteria was ac- counted for 66. 1% ,Gram - positive bacteria was accounted for 19. 5% ,fungi was accounted for14.4%. Conclusion The hospital infection rate is low and patients with hospital infection were focus on the department of ICU, so we should empha- ses the prevention at the key position.