我院医院感染现状分析

目的:了解我院医院感染现状,为医院感染管理提供参考。方法:采用回顾性调查方法,对我院2005年1月~2007年4月48 757例住院患者院内感染资料进行分析。结果:48 757例住院患者中,共发生医院感染1 028例,感染率为2.11%;感染共达1 097例/次,占2.25%。其中,2005、2006年和2007年1~4月的医院感染率分别为2.19%、2.17%、1.76%,医院感染漏报率分别为8.82%、5.39%、3.55%,均呈下降趋势;医院感染病原体标本送检率分别为44.57%、51.69%、51.77%,呈逐步上升趋势;感染科室以血液内科、肿瘤科、ICU、产科新生儿科和脑外科为主;感染部位以下呼吸道为主,致病菌以白假丝酵母样真菌居首位。结论:加强空气和医疗器械的消毒灭菌工作,严格遵守无菌操作规程,加强抗菌药物的合理应用,才能更有效降低医院感染率。

Current Status of Nosocomial Infection in Our Hospital

OBJECTIVE: To analyze the current situation of nosocomial infection in our hospital for references of control of hospital infection.METHODS: A total of 48 757 inpatients from Jan.2005 to April 2007 were analyzed retrospectively in respect of the nosocomial infection.RESULTS: Of 48 757 inpatients,1 028(2.11%) afflicted with nosocomial infection,the number of infection cases reached 1 097(2.25%).In 2005,2006,and the first 4 months in 2007,the nosocomial infection rates stood at 2.19%,2.17%,and 1.76%,respectively,and the rates of failing to report nosocomial infections were 2 were 8.82%,5.39%,and 3.55%,respectively,all showing downward tendency.The rates of pathogen specimens of nosocomial infection that sent for examination showed a upward tendency year on year(44.57%,51.69% and 51.77%,respectively).The nosocomial infection occurred predominately in blood department,tumor department,ICU,obstetrics department,neonate department,cerebral surgery department.Lower respiratory tract was the leading site of infection,and Monilia albicans were the leading pathogenic bacteria.CONCLUSION: To lower nosocomial infection rate,measures such as the sterilization of air and medical instruments,strictly abiding by aseptic manipulation and promoting the rational use of antimicrobials should be taken.