医院感染220例调查分析

目的了解住院患者医院感染情况,确定医院感染的重点,为预防和控制医院感染提供科学依据。方法对我院2010年全年发生医院感染患者的科室、部位和细菌培养结果进行了前瞻性和回顾性调查分析。结果全年9553例住院患者,发生医院感染220（2.30%）;感染264例次（2.58%）,感染部位以下呼吸道为主（48.47%）,其次为泌尿道和胃肠道,分别为20.61%和8.78%;病原菌以革兰氏阴性菌为主（48.97%）,常见的有铜绿假单胞菌（10.34%）、大肠埃希菌（6.21%）;真菌占22.06%,以白色念珠菌为主（13.10%）。结论开展目标性监测,提高临床标本送检率,合理使用抗菌药物,执行手卫生规范,严格无菌操作和消毒隔离制定,是预防医院感染的关键。

Investigate analysis of hospital infection in 220 cases

Objective To study the hospital infection of inpatient,to determine the focus of hospital infection,and to provide a scientific basis for the prevention and control of the hospital infection.Methods Retrospectively analyzed the department of infection,location and bacterial culture results of patients with hospital infection in 2010.Results Of 9553 cases inpatients,there were 220 cases of hospital infection,infection rate was 2.30%.There were 264 times of infection（2.58%）.The main infection site were lower respiratory tract（48.47%）,followed by urinary tract（20.61%）and gastrointestinal（8.78%）.The main pathogens was gram-negative bacteria,accounting for 48.97%,of which pseudomonas aeruginosa was 10.34%,and escherichia coli was 6.21%.Fungi accounted for 22.06%,and the main was Candida albicans（13.10%）.Conclusion The key to prevent hospital infection was to conduct targeted surveillance,to improve the clinical specimens sent rate,rational use of antimicrobial drugs,the implementation of hand hygiene practices,strict isolation and disinfection of aseptic formulation.