300例医院感染现况流行病学调查

目的：了解本医院感染(NI)的现况，以控制医院感染的发生。方法：抽检300例住院患进行医院感染现况调查。结果：医院感染发生率为8，67％，其中呼吸道感染占53，85％，泌尿道感染占19、23％．胃肠道感染占11．54％。ICU、血液科、神经内科等是医院感染的高危科室。医院感染的主要病原体为大肠埃希氏菌，合并真菌感染7例。术后预防性使用抗菌药物的比例偏高，为76，67％。结论：高危科室应该作为NI监控的重点。加强对抗菌药物的合理应用及管理，用于预防应严格控制。

Clinical Epidemiologic Survey on Nosocomial Infection:Analysis of 300 Cases

Objective:To investigate the nosocomial infection(NI) in our hospital and to find out the control method. Methods:The data of 300 in-patients had been analyzed by field survey in our hospital from Nov. 25,2002.To dec. 14,2002.Results:NI rate of our hospital was 7.91%, which distributed to: 53.85% were airway infection, 19.23% were urinary infection. The result showed that the germs mainly were Escherichia coli. ICU, the ward of haematological disease and neuron-disease were the risk department of NI. The preventive antibiotic application after operation was more frequent.Conclusion:It suggested that NI should be kept control and should be checked ordinary for the risk department.It is particularly necessary to limit the clinical use of preventive antibiotic.