某部队医院院内感染相关因素调查

目的了解本医院院内感染现状,找出医院感染相关因素,为制定防控措施提供依据。方法采取前瞻性监测和回顾性调查相结合的方法,对该医院2006年12月～2008年10月21796例出院患者病例资料进行了调查与分析。结果在调查的21796例住院病人中共发生医院感染535例,感染率为2.46%。感染部位以下呼吸道为主,占33.4%,上呼吸道感染为21.4%;血液感染占10.6%。医院感染主要致病菌以白色假丝酵母菌为主,占检出病原菌总株数的16.03%。医院感染的危险因素主要为放化疗、住院时间长、大量使用广谱抗菌药物等。结论本医院院内感染发病率低于国内平均水平,以呼吸道感染为主,要把肿瘤病人作为重点防护对象。

INVESTIGATION ON THE CORRELATED FACTORS OF NOSOCOMIAL INFECTION IN A HOSPITAL OF PLA

Objective To know the present status of nosocomial infection,to find out the correlated influence factors,and to offer evidence for prevention and control.Method The data records of 21 796 cases of patients from December 2006 to October 2008 were investigated and analyzed by retrospective investigation.Results There were 535 in-patients nosocomial infections in 21 796 cases.Incidence rate was 2.46%.The site with maximal incidence was lower respiratory tract(33.4%),next were upper respiratory tract(21.4%)and blood stream infection(10.6%).The main pathogenic bacterias of nosocomial infection is Candida albicans,accounting for 16.03%.The main risk factors were inchemicotherapy,long time in-hospital,over using broad-spectrum antibiotic,and so on.Conclusion Nosocomial infection in the Hospital is below the average level.Respiratory tract was the main infection site.Tumor patients should be protected firstly.