精神科医院感染的临床调查

目的了解我院精神科医院感染发病率,分析发生医院感染相关因素,减少医院感染的发生。方法采用回顾性调查分析,对我院精神科2000年1月~2004年12月的住院病历进行分析,计量资料进行均数计算,计数资料用χ2检验。结果9 089例精神科住院患者发生医院感染313例次,医院感染率为3.44%,总感染率呈逐年下降趋势(P<0.05);感染部位以上呼吸道(34.82%)、胃肠道(20.45%)、泌尿道(18.53%)为主;女病区医院感染率(3.83%)高于男病区医院感染率(3.07%)P<0.05;重管室医院感染构成比(57.51%)高于康复室医院感染构成比(42.49%)P<0.05。结论根据精神科医院感染的特点,必须加强医生、护士的防护意识和医院感染的重点监控,减少医院感染的发生。

Nosocomial Infection in Psychiatry Department: A Clinical Investigation and Analysis

OBJECTIVE To explore the incidence of the nosocomial infection in patients with mental diseases,(analyze) the correlative factors and then reduce the incidence.(METHODS) By using the retrospective method,the(inpatient) cases in psychiatry department from Jan 2000 to Dec 2004 were surveyed and statistically analyzed.(RESULTS) There were 313 cases of nosocomial infection from 9 089 inpatients with mental diseases.The infection rate was(3.44%.) The total rate had been dropped year by year.The major sites of the infection were the(upper)(respiratory) tract(34.82%),the gastrointestinal tract(20.45%) and the urinary system(18.53%).The(infection) rate in ladies patient area(3.83%) was significantly higher than that of gentlemen patient area(3.07%)(P<0.05).The proportion in ICU(57.51%) was higher than that in recovery room(42.49%).CONCLUSIONS The medical employees should strengthen their knowledge of nosocomial infection and the high risk region should be seriously surveyed,and the nosocomial infection control could be improved.