山东省医院感染监控网3年监测资料分析  

Analysis into 3 years of data from the hospital infection surveillance networks in Shandong

作　　者：李卫光[1] 王一兵[1] 朱其凤[1] 

机构地区：[1]山东省立医院,济南250021

出　　处：《中华医院管理杂志》2005年第8期558-560,共3页Chinese Journal of Hospital Administration

摘　　要：目的分析山东省医院感染监控网医院感染发病率和病原菌分布.方法对全省监控网络医院2001年8月～2004年7月上报的监测资料进行汇总分析.结果共监测住院病人1 776 030名,发生医院感染43 355人,医院感染发病率为2.44%;感染部位以呼吸道感染最多见,其次是胃肠道、泌尿道和手术切口等;共分离病原体6 251株,以大肠埃希菌、铜绿假单胞菌、金黄色葡萄球菌、肺炎克雷伯菌、白色念球菌和表皮葡萄球菌等为主.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;宜采用现患率调查与重点部门目标性监测相结合的方式进行医院感染监测.Objetctive To analyze the incidence of hospital-acquired infection and the distribution of pathogens through data from the hospital infection surveillance networks in Shandong. Methods A meta-analysis was made of the data submitted by the hospitals involved in the provincial surveillance networks from August 2001 to July 2004. Results The surveillance data involved 1 776 030 hospitalized patients, of whom 43 355 had a hospital-acquired infection, the incidence of hospital-acquired infection being 2.44‰. Respiratory-tract infections were most fre- quent, followed by gastroenteric-tract infections, urinary-tract infections and surgical-site infections. A total of 6 251 strains of pathogens were isolated, the most commonly identified pathogens being Escherichia coli, Pseudomonas aemginosa, Staphylococcus aureus, Klebsiella pneumoniae, Candida albicaus and Staphylococcus epidermidis. Conclusion It is imperative to reinforce the sterilization of air and medical instruments, strictly abide by aseptic manipulation, and promote the rational use of antimicrobials. Hospital infection surveillance ought to be conducted by the combined method of prevalence surveys and the targeted surveillance of key sectors.

关 键 词：医院感染 医院感染监测 医院感染管理 医院感染监控网 监测资料分析 山东省 金黄色葡萄球菌 感染发病率 铜绿假单胞菌 肺炎克雷伯菌 

分 类 号：R181.8[医药卫生—流行病学]