某医院2012年住院患者医院感染调查  

INVESTIGATION ON HOSPITAL INFECTION OF A HOSPITAL INPATIENTS IN 2012

作　　者：平静珍[1] 孙晓穗[1] 王艳霞[1] 花春玲[1] 

机构地区：[1]首都医科大学附属北京胸科医院,北京101149

出　　处：《中国消毒学杂志》2014年第1期45-47,共3页Chinese Journal of Disinfection

摘　　要：目的了解住院患者医院感染现状,为有效防控提供科学依据。方法通过回顾性调查方法,对某医院2012年度住院患者医院感染情况进行监测。结果全年共调查住院患者8 321例,发生医院感染145例,医院感染发生率为1.74%。感染率最高科室是重症监护病房,占感染患者总数的63.08%。感染部位以下呼吸道为主,占75,57%;其次为泌尿道,占14.77%。感染病原菌以革兰阴性菌为主,占72.07%。各种侵入性操作、患者高龄、伴有基础病及抗菌素大量应用等因素构成医院感染的易感因素。结论住院医院感染患者主要分布在重症监护病房,易感因素明确,应针对具体影响因素提出防控措施。Objective To know the current status of inpatients＇ hospital infection and to provide the scientific base for the prevention and control. Methods Retrospective survey was used to monitor infection status of inpatients during 2012. Results Among those 8 321 patients monitored, the infection rate was 1.74% with the number was145. The highest in- fection department was ICU which accounted for 63.08%. The infected site mainly were lower respiratory tract （75.57%） and the urinary tract（ 14.77% ）. The Gram- negative bacteria ranked the highest rate （72. 07% ） among the infected pathogens. The leading susceptible factors were invasive operation, the advanced age, severe basic diseases and broad spectrum antibiotics abused. Conclusion The main infection inpatients were in ICU, and the predisposing factor was clear. We should provide prevention and control measure focus on the specific influencing factors.

关 键 词：住院患者 医院感染 病原菌 易感因素 

分 类 号：R181.32[医药卫生—流行病学]