某三级综合医院住院患者医院感染状况调查

Survey on hospital infection of a tertiary general hospital's inpatients

目的了解医院感染基本情况,找出重点薄弱环节,为提高医院感染防控水平提供依据。方法采用回顾性调查和前瞻性研究方法,对某三级综合医院住院患者医院感染病例进行综合分析。结果 2年共调查住院患者103 117例,发现医院感染病例3 098例、3 456例次,医院感染发生率为3.00%、例次感染率为3.35%。以重症医学科住院患者医院感染率最高,例次感染率为31.33%。下呼吸道感染患者构成比占36.20%,居感染部位的首位,其次是上呼吸道感染和泌尿道感染。结论该医院住院患者医院感染率尚在规范指标之内,但感染重点部位和重点环节比较突出,应当有针对性地加强重点部位和高危人群防控措施。

Objective To learn the basic situation of nosocomial infection,find the weak links,and provide the basis for improving the level of prevention and control of hospital infection. Methods Based on the methods of retrospective analysis and prospective study,we conducted a comprehensive and integrated research on hospital infections based on a tertiary general hospital＇s inpatients. Results A total of 103 117 cases of hospitalization in two year were investigated,while 3 098 persons and 3 456 cases had hospital infection,the hospital infection rate was 3. 00%,and the cases infection rate was3. 35%. The cases infection rate of Critical Care Medicine Inpatients＇ was the highest,（ 31. 33%）. Lower respiratory tract infection proportions accounted for 36. 20%,ranking first in the infected area,followed by upper respiratory tract infections and urinary tract infections. Conclusion The hospital inpatients＇ infection rate is still within the norm indicators,but the infection key positions and key aspects is more prominent,the focus should be targeted to the prevention and control measures of key parts and the high- risk groups.