医院感染横断面调查分析  

Cross-sectional survey and analysis of nosocomial infections

作　　者：宗睿[1] 黄晨[1] 祝宝让[1] 尚学义[1] 左大鹏[1] 翟红岩[1] 

机构地区：[1]解放军第307医院神经外科,北京100071

出　　处：《中华医院感染学杂志》2011年第19期4013-4015,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨某部队医院住院患者医院感染的临床特点并分析两年来医院感染管理效果。方法对2010年10月27日0∶00-24∶00时所有住院患者的感染情况进行横断面调查,并与医院2008年回顾性调查情况进行对比分析。结果在1181例住院患者中,共发生医院感染28例次,医院例次感染率为2.73%;呼吸科监护病房和神经内科感染率较高;感染部位主要为下呼吸道感染,占53.57%;原发病在医院感染的构成比中,居前3位的为肿瘤、血液病、神经系统疾病,分别占28.57%、28.57%、25.00%;检出最多的致病菌为铜绿假单胞菌。结论通过落实医院感染管理各项措施,医院感染率低于国家卫生部要求,应继续强化管理以减少医院感染发生。OBJECTIVE To investigate the clinical characteristics of nosocomial infection（NI） in a hospital and analysis the effect of two year′s hospital infection control.METHODS From 0∶00 to 24∶00 on Oct 27 2010,the infection of all hospital patients were cross-sectional surveyed.The result was comparatively analyzed between the situation of our hospital from the year 2006 to 2008.RESULTS Among 1181 hospitalized patients,28 suffered NI,and the NI rate was 2.73%.The NI rate of the respiratory care unit（RICU） as well as neurology department was higher than other departments.NI rate of lower respiratory tract infection was the highest（53.57%）.Among of primary diseases,the neoplastic disease was the predominant in NI rate（28.57%）,followed by blood disease（28.57%） and nervous system disease（25.00%）.The main pathogenic bacterium of NI was Pseudomonas aeruginosa.CONCLUSION Under the hospital infection control,the NI rate is lower than the request of the Ministry of Health.It is essential to strengthen management to reduce NI.

关 键 词：医院感染 控制 横断面调查 

分 类 号：R181.32[医药卫生—流行病学]