2375例住院患者医院感染调查

目的：了解某医院住院患者医院感染发病情况，确定今后监测和管理的方向和重点。方法：采用回顾性调查,对某医院2005年3月份2375份住院病历进行调查分析。结果：共有52例发生医院感染，总感染率2．19％，医院感染部位前3位为下呼吸道（46．15％），上呼吸道（15．38％），胃肠道（9．62％），医院感染病原菌分布为革兰阴性杆菌占58．62％、真菌占24．14％、革兰阳性球菌占17．24％。结论：真菌感染在医院感染中占有越来越重要的地位；落实医院感染控制措施是预防和控制医院感染的重要手段。

AN INVESTIGATION AND ANALYSIS OF NOSOCOMIAL INFECTION OF 2 375 INPATIENTS

Objective:To understand the incidence of nosocomial infection in one hospital and to plan the emphases of future monitoring.Methods:The 2 375 hospitalization medical records were analysed by retrospective studies.Results:There were 52 cases of nosocomial infection and the total infectious rate was 2.19%.The lower respiratory tract(46.15%),the upper respiratory tract(15.38%)and the gastrointestinal tract(17.24%)were the main sites of nosocomial infection.Gram-negative bacillus was 58.62%,fungi was 24.14% and Gram-positive bacteria was 17.24% in the percentage of pathogens of nosocomial infection.Conclusion:Fungus infection is more important in nosocomial infection;To fulfill the measures of infection is the important method that to prevent and control nosocomial infection.