实施两种监测方法对普通外科医院感染基线数据影响探讨  

Impact of two surveillance methods on baseline data of hospital infections in department of general survey:a comparative study

作　　者：茅一萍[1] 韩方正[1] 周宏[1] 康海全[1] 郑伟[1] 

机构地区：[1]徐州医学院附属医院感染管理科,江苏徐州221002

出　　处：《中华医院感染学杂志》2011年第12期2449-2451,共3页Chinese Journal of Nosocomiology

摘　　要：目的通过分析医院感染两种主要监测方法对普通外科术后医院感染感染率的差异,探讨实施两种监测方法对普通外科医院感染感染率基线数据的影响。方法 2008年3月1日-9月30日目标性监测医院普通外科1589例住院手术患者的医院感染发生情况;与2007年同期前瞻性全面综合性监测医院普通外科2322例住院手术患者医院感染资料进行统计学对比分析。结果目标性监测1589例普通外科手术患者术后共发生224例、249例次医院感染,医院感染率为14.10%,例次感染率为15.67%;明显高于2007年同期前瞻性全面综合性监测2322例手术患者术后医院感染率2.45%,例次感染率2.93%,经统计学分析比较差异有统计学意义(P<0.01)。结论目标性监测方法能提高医院感染的发现率,应在全面综合性监测的基础上强化医院感染重点科室及部位的目标性监测,更有利于获得准确的医院感染基线数据。OBJECTIVE To discuss the influence of implementation of the two monitoring methods on the incidence rate of the nosocomial infection by performing an comparative analysis between the present data and those of the prospective comprehensive supervision to distinguish the incidence rate of the nosocomial infection disease after hospitalization.METHODS A nosocomial infection targeted surveillance was conducted on 1589 inpatients undergoing surgery in department of general surgery from Mar 1st to Sep 30th,2008;and a comprehensive monitoring of 2322 patients of general surgery of the corresponding period in 2007 was performed.Their nosocomial or hospital infection data were statistically analyzed.RESULTS From Mar,2008 to Sep,2008,the number of infected patients was 224 and nosocomial infection cases was 249 in1589 hospital patients of general surgery.The incidence rate was 14.10% and the infective incidence rate was 15.67%.It was higher than the result of the prospective comprehensive supervision in 2007,the incidence rate was 2.45% and the infective incidence rate was 2.93%.There was significant difference（P0.01）.CONCLUSION The objective supervision is better than overall supervision in the term of the incidence of nosocomial infection.The objective supervision should be carried out after overall supervision at some important departments and sites to increase the supervision efficiency,so as to acquire more accurate baseline data of nosocomial infection.

关 键 词：普通外科 医院感染 监测方法 基线数据 

分 类 号：R181.32[医药卫生—流行病学]