住院患者医院感染1066例调查分析

目的了解住院患者医院感染的发生与分布,分析发生医院感染相关因素,寻找控制感染发生措施,减少医院感染发生.方法查阅2002～2003年住院病历 38 294 份,并进行回顾性调查分析.结果 38294例住院患者中发生医院感染1066例,感染率2.78%,综合(高干)科医院感染发病率最高(9.01%);恶性肿瘤、血液和造血系统疾病医院感染发病率高,分别占6.83%和6.51%;感染部位以呼吸道为主,构成比51.21%,其次为胃肠道感染和泌尿道感染;引起感染的主要病原菌为革兰阴性杆菌(构成比 53.07%)及致病性真菌.结论通过监控和加强培训教育能有效地预防医院感染的发生.

Nosocomial infections of inpatients:a investigation and analysis of 1 066 cases

Objective To investigate the distribution and the incidence of nosocomial infections in hospital, analyze relevant factors of nosocomial infection and find out preventive measures. Methods Retrospective survey was performed to investigate 38 294 hospitalized cases from 2002 to 2003. Results In 38 294 hospitalized cases, there were 1 066 cases complicated with infection, The rate of nosocomial infection was 2.78%, the rate of infection in gerontal wards was highest(9.01%). The primary diseases were tumors and hematopoietic. The respiratory tract infection was the most frequent infection(51.21%), others was gastrointestinal tract infection and urinary tract infection.Among 456 kinds of pathogenic bacteria detected,Gram negative bacilli were 54.16%, fungi were 21.11%. Conclusion Surveillance is important to prevent nosocomial infections.