2009-2011年三级传染病医院医院感染临床调查与分析  

Clinical investigation and analysis of nosocomial infections in tertiary infectious disease hospital during 2009-2011

作　　者：王淑梅[1] 陈宏义[1] 黄学莲[1] 刘宾红[1] 陈家鴒[1] 

机构地区：[1]南昌市肝病医院感染科,江西南昌330002

出　　处：《中华医院感染学杂志》2013年第11期2598-2600,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨三级传染病专科医院医院感染的临床特点,为制定科学的医院感染监控措施、提高医院感染管理水平提供依据。方法采取回顾性调查方法,对医院2009年1月一2011年12月收住院的13 029例传染病患者的临床资料进行调查分析。结果 13 029例传染病患者发生医院感染703例、799例次,医院感染率5.40%、例次感染率6.13%;感染部位以腹腔感染占首位,占48.31%,其次是下呼吸道感染,占18.15%;慢性重症肝炎医院感染发生率最高,为24.47%;病原菌以革兰阴性杆菌为主,占53.85%,居首位的是大肠埃希菌57株,占25.79%;13 029例患者中使用抗菌药物4527例,使用率为34.75%。结论加强医院感染管理,控制感染危险因素,合理使用抗菌药物可以减少医院感染的发生。OBJECTIVE To investigate the clinical features of nosocomial infections in the tertiary infectious disease hospital so as to provide basis for the development of scientific control measures of nosocomial infections and for the improvement of infection control. METHODS By means of retrospective survey , the clinical data of 13 029 patients with infectious diseases who were enrolled the hospital from Jan 2009 to Dec 2011 were investigated. RESULTS Of 13 029 patients with infectious diseases investigated, the nosocomial infections occurred in 703 patients for 799 case-times with the infection rate of 5. 40% and the case-time infection rate of 6. 13%. The abdominal cavity ranked the first place of the infection sites （48.31%）, followed by the lower respiratory tract （18.15%）. The incidence of nosocomial infections in the patients with severe chronic hepatitis was the highest （24.47%）. The gram-negative bacilli were the predominant pathogens, accounting for 53.85%, among which 57 （25.79%） strains of Escherichia coli ranked the first place. Of the 13 029 patients, totally 4527 patients used antibiotics with the utilization rate of 34. 75%. CONCLUSION It is an effective way to reduce the incidence of nosocomial infections by strengthening the infection control, controlling the risk factors, and reasonably using antibiotics.

关 键 词：医院感染 传染病 调查 分析 

分 类 号：R181.32[医药卫生—流行病学]