重庆市某医院2013年医院感染临床分布特征分析

Analysis on clinical distribution of nosocomial infection in a hospital of Chongqing City in 2013

目的了解医院感染的基本情况,收集相关问题,为制定感染控制方案提供依据。方法回顾性分析2013年该医院感染资料,并将信息录入到EpiData3.0建立的数据库;采用描述性方法描述医院感染病例和医院感染病原菌的临床分布,利用SPSS17.0进行χ2检验。结果 2013年发生医院感染413例,感染率为1.2%;其中,恶性肿瘤患者医院感染率较高;医院感染主要部位为呼吸道和泌尿道;大肠埃希菌、铜绿假单胞菌、鲍曼不动杆菌、金黄色葡萄球菌和肺炎克雷伯菌是医院感染的主要病原菌。结论继续加强医院感染培训,加强易感部位管理,制定相关操作规程是今后防控工作的重点。

Objective To understand the basic situation of hospital infection ,relevant problems were collected so as to pro‐vide reference for making infection control program .Methods Infection data in 2013 was reviewed and input into database which was built by EpiData3 .0 ;the descriptive statistical method was used for the characters of clinical distribution of hospital infection and χ2 test was used for the rate comparison by the SPSS17 .0 software .Results Four hundred and thirteen hospital infection cases were found in 2013 and infection rate was 1 .2% ,which was higher in patients with malignant tumor .The main parts of hosipital in‐fection were respiratory and urinary system .Escherichia coli ,Pseudomonas aeruginosa ,Acinetobacter bacteria Bauman ,Staphylococ‐cus aureus and Klebsiella pneumoniae were the main pathogen in nosocomial infection .Conclusion The focus for future prevention and control work are to strengthen hospital infection training ,susceptible sites management ,and formulate relevant rules of opera‐tion .