某综合医院医院感染现状及干预措施  

HOSPITAL INFECTION STATUS AND INTERVENTION MEASURES IN A GENERAL HOSPITAL

作　　者：张超华[1] 方军凯[2] 刘恩汝[1] 胡芳[1] 刘媖媖 

机构地区：[1]静海县医院,天津静海301600 [2]天津市计划生育研究所,天津300191

出　　处：《现代医院》2015年第9期111-113,共3页Modern Hospitals

摘　　要：目的了解医院感染现状以及危险因素，为预防与控制医院感染提供科学依据。方法采用前瞻性监测与回顾性调查相结合的方法，对2014年1～12月所有住院患者医院感染进行分析。结果调查住院患者45437例，发生医院感染498例，515例次，感染率1．10％，例次感染率1．13％；高危科室为泌尿外科、ICU、骨科、普外科；感染主要部位是下呼吸道、泌尿道；年龄、住院时间长、长期应用抗茵药物、侵入性操作均是医院感染的危险因素。结论进一步加强对高危科室的监测和培训，尽量减少侵入性操作，规范操作流程，加强对老年患者的护理管理，减少住院天数．合理使用抗菌药物．减少医院威染的发生．Objective To provide scientific bases for the prevention and control of the hospital infection by analyzing the hospital infection status and risk factors. Methods A prospective surveillance combined with retrospective investigation was conducted to analyze the hospital infection of inpatients admitted from January 2014 to December 2014. Results Among 45 437 investigated inpatients,498 inpatients suffered from hospital infection,with a total of 515 case- times. The infection rate was 1. 10%,and the case- time infection rate was 1. 13%. The urinary surgery,ICU,orthopaedics and general surgical department were the high- risk departments. The lower respiratory tract and urinary tract were the common infection positions. Age,long duration of hospitalization,long- term application of antibiotic and invasive operations were the risk factors of hospital infection. Conclusion The incidence of hospital infection can be decreased by strengthening the surveillance and training for high- risk departments,standardizing the operation procedure,reducing the invasive operations,strengthening the nursing management for elderly patients,shortening days of hospitalization,ad rationally administrating antibiotics.

关 键 词：医院感染 危险因素 干预措施 

分 类 号：R197.3[医药卫生—卫生事业管理]