住院患者医院感染流行病学动态分析  

Study on the epidemiology of nosocomial infection inpatient with the trend of changes

作　　者：陈红 王晓青 周宁 陈萍 王豪 

机构地区：[1]西安市中医院院内感染控制科,710001 [2]重庆市医院感染控制中心,400042

出　　处：《重庆医学》2010年第24期3363-3364,共2页Chongqing medicine

摘　　要：目的评价医院感染发病率的变化趋势。方法对2005～2009年住院患者,以每1年为一个阶段进行统计、对比。结果医院感染发生率为3.18%,医院感染的前4位为下呼吸道感染、泌尿道感染、胃肠道感染、伤口感染。医院感染病原菌主要为真菌、耐甲氧西林金黄色葡萄球菌(MRSA)、铜绿假单胞菌、鲍曼不动杆菌等。结论医院感染的发病率和病死率逐年下降,感染的病原菌株逐年增多,耐药性增强,提示根据药敏选择抗菌药物,加强综合性预防措施,能有效控制医院感染。Objective To evaluate the inpatients with nosocomial infections the rates of incidence.Methods Analysis was made on the clinical data of hospital admission of patients with nosocomial infection in rural areas during 2005-2009 at every year.Results The rates of incidence of nosocomial infections（3.18%）have decreased in inpatient.The four foremost nosocomial infection sites are lower respiratory tract,urinary tract,gastrointestinal tract and operative incision.The most common isolated bacteria were fungus,MRSA P.aeruginosa,and A.baumanii.Conclusion The rates of incidence and mortality of nosocomial infection have decreased in the last 5 years.Strains resistant to antimicrobial agents are increasing and multidrug resistance was in high levels.In clinical therapy,sensitive antibiotics should be selected based on the drug sensitive tests.Measurements should be taken to prevent further transmission of nosocomial infection.

关 键 词：医院感染 流行病学 

分 类 号：R181.34[医药卫生—流行病学]