1779例医院感染病例调查分析

目的了解医院感染的发病情况,加强对重点科室医院感染动态监测,控制医院感染发生.方法对苏大附一院2004年全年收住入院的患者33308人次,所发生的医院感染1779例进行调查分析.结果 2004年医院感染率为5.30%,高危科室为:病房ICU、急诊ICU、血液科一、老年科、血液科二,感染高发部位为呼吸道,真菌已成为医院感染的主要致病菌,基础病严重、免疫力低下、侵入性技术操作、抗生素使用不合理等是造成医院感染的主要原因.结论提高患者免疫功能,严格执行无菌技术,减少不必要的侵入性操作,合理使用抗生素,及时、准确地进行病原菌监测,是降低医院感染的有效措施.

Nosocomial Infection:Investigation on 1779 Cases

Objective To investigate nosocomial infection rate and strengthen the surveillance on important department,in order to prevent and control nosocomial infection.Methods A total of 33308 patients were inspected from Jan to Dec,2004.There were 1779 patients of nosocomial infection.Results Nosocomial infection rate was 5.3%.The ICU,hematological department and geronitcs department were the high risk department of nosocomial infection.Respiratory tract was the most common infective site.Fungi were the main pathogens.Severe disease,lower immunity,invasion treatment and the inappropriate use of antibiotics were the most important cause of nosocomial infection.Conclusions In order to control infection,effective measures should be taken: improve the immunity of patient,strickly take aseptic technique,decrease unnecessary invasion treatment and use antibiotics reasonablely.