2979例医院感染病例调查分析  

Nosocomial Infection in 2979 Cases

作　　者：王玮[1] 陈宗敏[1] 曹秀堂[2] 

机构地区：[1]解放军第307医院医务部,北京100071 [2]解放军总医院医疗统计科,北京100853

出　　处：《中华医院感染学杂志》2009年第11期1342-1344,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解、掌握医院感染现状,为降低医院感染率提供依据。方法回顾性地调查2000年1月-2007年12月住院患者50 272例次,医院感染2979例。结果近8年医院感染率为5.93%,医院易感人群中以恶性肿瘤患者居多占80.16%,住院时间越长,发生医院感染的危险性越大;高危感染科室为造血干细胞移植科和血液科,感染高发部位为呼吸道占67.91%;侵入性诊疗技术操作是引起医院感染的因素之一。结论全院医院感染率偏低,恶性肿瘤的医院感染率偏高,建立医院感染管理监控系统,利用先进统计软件进行辅助监控,有效地提高医院感染控制水平。OBJECTIVE Based on data analysis of nosocomial infections in our hospital, main reasons of the infection, especially the relationship between infection risk and malignant conditions were investigated in detail. METHODS A retrospective study of 50 272 patients in the period form Jan 2000 to Dec 2007 showed 2979 patients （5.93%） had nosocomial infections. The reasons caused nosocomial infections were diverced. RESULTS The patients with severe blood disorder or tumors were at high risk of nosocomial infections. The longer the stay in hospital, the higher the risk they had. Moreover, the Department of Hematopoietic Stem Transplantation and the Department of Hematological Disease both accounted for the majority of nosocomial infections. Intervention therapy was another main reason of the infection. Respiratory tract was the most common infection site. CONCLUSIONS The infection rate of our hospital is lower among same kinds of hospitals. To reduce infection risk further, a new system with advanced statistical analysis software is being established. The system includes a monitor motif which could conquer the current weakness.

关 键 词：医院感染 感染率 恶性肿瘤患者 分布 

分 类 号：R181.32[医药卫生—流行病学]