北京一所老年病医院住院病人医院感染情况分析

目的：调查分析住院患者的医院感染情况。方法：对2000年期间住院病房收治的12418例患者进行回顾性调查。结果：发生医院感染者378例，医院感染发病率为3．045，不同性 、年龄医院感染发病率差异有显著性，男性高于妇性，随着年龃牟增长，医院感染和发病率增高，医院感染部位主要为下呼吸道（35．99％）、上呼吸道（22．95％）、泌尿道（17．63％）和胃肠道（10．39％），其中主要为白色念珠菌（15．78％）、铜绿假单胞菌（13．15％）、肠球菌（11．84％）、医院感染致病菌为革兰氏阴性杆菌占46．03％，革兰氏阳性球菌占23．685，真菌占15．78％，医院感染致死率为14．295。结论：A杂与性别、年`产室和侵袭性操作等密切相关，应加强医院感染的防治。

A study on nosocomial infection among inpatients in Beijing Hospital for elderly

Objective To investigate the nosocomial infection among inpatients. Methods A retrospective study on 12 418 inpatients was undertaken from January to December in Beijing Hospital in 2000. Results Three hundred and seventy eight cases due to nosocomial infection were identified with a rate of 3.04 %. There existed significant differences with rates of different sex and ages. The infection rate in males was higher than in females. The older the age, the higher the rates of infection was noticed. Nosocomial infections occurred mainly in the lower respiratory tract ( 35.99 %),upper respiratory tract ( 22.46 %),urinary tract ( 17.63 %) and gastrointestinal tract ( 10.39 %).The main pathogenic organisms of the nosocomial infection were Candida albicans ( 15.78 %), Pandomonos ( 13.15 %)and Enterococcus ( 11.84 %) with gram negative bacilli ( 46.03 %),gram positive coccus ( 23.68 %)and fungus ( 15.78 %). The overall death rate of nosocomial infection was 14.29 %. Conclusions Nosocomial infections were closely correlated with sex, age, department of wards and invasive operation etc. Prevention and proper treatment of nosocomial infection should be strengthened.