538例肾综合征出血热患者医院感染目标性监测分析

目的 探讨肾综合征出血热医院感染发生特点及防治措施.方法 采用目标性监测方法对2010年1月1日至2010年12月31日所收治的538例肾综合征出血热患者进行监测分析.结果 538例肾综合征出血热患者中发生医院感染42例,感染率为7.81％；共发生63例次感染,例次感染率为11.71％;主要感染部位为呼吸系统,为35例次,占55.56％,病原菌中革兰氏阳性菌占52.17％,革兰氏阴性菌占43.48％,真菌类占4.35％.结论 加强医院感染知识教育,注意消毒隔离,严格无菌操作,合理使用抗生素,认真执行手卫生,降低探视陪护,以及开展目标性监测和重点干预措施是控制医院感染发生的有效科学的方法.

Analysis on targeted surveillance of nosocomial infection in 538 patients with HFRS

Objective To investigate the features and treatment of nosocomial infection(NI) in patients with hemorrhagic fever with renal syndrome(HFRS).Methods 538 patients with HFRS,hospitalized from January 2010 and December 2010 were monitored by targeted surveillance and analyzed retrospectively.Results Forty-two(7.81%) patients,a total of 63(11.71%) cases,developed NI.Among the 63 cases,35 cases(57.58%) were infected in the respiratory tract.The pathogens causing NI were mainly Gram-positive bacteria(52.17%),Gram-negative bacteria(43.48%),and fungi(4.35%).Conclusion An effective and scientific method for controlling NI is to strengthen the knowledge and education of NI,pay attention to disinfection and isolation,operate aseptically,use antibiotics rationally,implement hand hygiene seriously,reduce access companys,and carry out the targeted surveillance and key interventions.