同一所医院两个院区医院感染的调查分析  

Hospital Infection in Two Sections of a Same Hospital

作　　者：张常然[1] 彭丹心[2] 杨永洁[1] 林建聪[1] 谭清华[1] 刘霞[1] 李鸣[1] 

机构地区：[1]中山大学附属第一医院黄埔院区,广东广州510700 [2]中山大学附属第一医院感染管理科,广东广州510700

出　　处：《中华医院感染学杂志》2009年第16期2102-2103,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨在相同管理模式下,同一所医院的两个院区医院感染的特点是否有所不同。方法回顾分析某三甲医院的两个院区在2007年1-12月医院感染的发生率、主要的感染部位、主要的科室分布、病原菌的分离情况。结果院本部和院区的医院感染发生率分别为4.9%、4.8%;两者的感染部位及医院感染的病原菌基本相同,但院本部的真菌感染率在所有检测的病原菌中最高;两者医院感染发生率高的主要的科室分布有所不同。结论在相同管理模式下,不同的医院其医院感染的发生既有共同点,也有本身的特点。在医院感染的防治过程中,对不同医院和科室防治侧重点应有所区别。OBJECTIVE To investigate the hospital infection characteristics in the two sections of a same hospital under the same administration mode. METHODS The clinical data of patients with documented hospital infection from Jan 2007 to Dec 2007 were retrospectively analyzed. Pathogens were identified by bacterial biochemical identification panel, and antimicrobial susceptibility tests were done by disc agar diffusion test. RESULTS The prevalence rate of hospital infection was 4.9 % and 4.8 % in the two sections of a same hospital; There were not significant difference in the distribution of infection site and bacilli, but there was significant difference in fungi among pathogens isolated from hospital infection cases（16.0% vs 8.0%）, and the rate of hospital infection was changing in the different departments in the two sections of a same hospital. CONCLUSIONS There are different nosocomial infection characteristics even if in the same hospital, The hospital infection should be strengthened in the departments with more inpatients, according to the developing program of hospital.

关 键 词：医院感染 监测 分析 

分 类 号：R181.32[医药卫生—流行病学]