多部位医院感染123例分析

目的通过临床调查,分析多部位医院感染的原因、临床特点及其预防措施。方法对2004年医院感染病例进行前瞻性监控与分析。结果2004年发生医院感染病例为1 645例,其中多部位感染123例,占7.4%;123例共发生267例次感染,其中2个部位105例、3个部位17例、4个部位1例,平均为2.17例次;以下呼吸道部位感染最多见,占35.58%;其次为泌尿道、胃肠道、血液、手术切口等,分别占24.34%、14.23%、8.99%、6.74%;医院感染病原菌主要以革兰阴性杆菌(G-杆菌)为主,占54.49%,而革兰阳性球菌(G 球菌)与真菌各占29.64%及15.57%;相关因素为高龄、基础疾病、多器官损伤、侵入性操作、抗菌药物使用、交叉感染等;其严重后果为病程延长、病死率增高、费用增大。结论多部位医院感染是医院感染的重点监测对象,预防与及时发现、控制多部位感染,可有效减低医院感染率。

Nosocomial Infection in Multiple Sites: Clinical Analysis of 123 Cases

OBJECTIVE To analyze the cause,clinical characteristic and preventive measures in nosocomial infection of multiple sites. METHODS A total of 123 cases of nosocomial infection in multiple sites in our hospital in 2004 were prospectively monitored and analyzed retrospectively. RESULTS Among 1645 cases of nosocomial infection,123 cases suffered from nosocomial infection in multiple sites.The main infection sites were lower respiratory tract and urinary tract.The main risk factors were over usage of broad-spectrum antibiotics and invasive operation.The serious result was prolongation of duration in hospital,increase in mortality and expensiveness. CONCLUSIONS The nosocomial infection in multiple sites is a main object to be monitored.To prevent,discover and control nosocomial infection in time is an effective measure to reduce the risk of nosocomial infection.