6年医院感染病例监测分析  

Nosocomial Infection in a Hospital:During Six Years:Monitoring and Analysis

作　　者：谭妙莲[1] 刘霞[1] 龙硕[1] 张常然[1] 陆家海[2] 

机构地区：[1]中山大学附属第一医院黄埔院区医院感染管理办公室,广东广州510700 [2]中山大学公共卫生学院医学统计与流行病学系,广东广州510080

出　　处：《中华医院感染学杂志》2010年第17期2574-2576,共3页Chinese Journal of Nosocomiology

摘　　要：目的通过监测了解医院6年内医院感染状况,为医院感染预防及控制提供依据。方法用前瞻性调查和回顾性调查相结合的综合性监测方法 ,对医院2002-2007年66 876例住院患者的医院感染进行统计分析。结果 6年发生医院感染2569例,医院感染率为3.8%;感染高发科室主要为:康复科(25.3%)、神经内科(9.82%)、外科三区(8.39%);感染部位分布主要是下呼吸道(27.0%)、上呼吸道(19.4%)、泌尿道(16.7%);年龄≥60岁的住院病例发生医院感染的概率最高。结论通过动态监测,了解医院感染率、科室、部位、患者年龄分布,从而针对各种相关因素采取预防措施,控制医院感染的发生。OBJECTIVE To provide evidence of the prevention of the nosocomial infection（NI） by monitoring the infection status of the hospital in 6 years.METHODS The NI of 66876 inpatients from 2002 to 2007 were statistically analyzed prospectively and retrospectively.RESULTS There were 2569 NI cases in these 6 years,the NI rate was 3.8%.The departments with high NI rate were：Rehabilitation Department（25.3%）,Neurology Department（9.82%） and the Third Surgery Department（8.39%）.The main infection sites were lower respiratory tract（27.0%）,upper respiratory tract（19.4%） and urinary tract（16.7%）.The patients who were over 60 years old had the highest NI rate.CONCLUSION The relevant preventive measures can be taken by dynamic monitoring of the NI rate,the distributions of the departments,infection sites,pathogenic bacteria and patients′ age,hospital stay and risk factors.

关 键 词：医院感染 病例监测 医院感染率 

分 类 号：R181.32[医药卫生—流行病学]