某医院康复医学科医院感染现状调查  

Investigation of nosocomial infection in the department of rehabilitation

作　　者：梁家隐[1] 廖小倩 黄凡华 黎婉斌[1] 席云[1] 

机构地区：[1]中山大学附属第三医院,广东广州510630

出　　处：《中国消毒学杂志》2017年第9期845-847,共3页Chinese Journal of Disinfection

摘　　要：目的了解康复医学科患者住院期间医院感染情况,为制定感染防控方法提供依据。方法通过回顾性调查,对某医院康复医学科住院患者的医院感染现状及感染病原菌分布进行调查。结果连续2年调查该医院康复医学科住院患者1 111例,查出医院感染患者329例、394例次,医院感染发生率为29.61%、感染例次率为35.46%。感染部位中呼吸道感染占72.34%,泌尿道感染占20.30%。检出的感染病原菌中革兰阴性杆菌占76.90%,铜绿假单胞菌、鲍曼不动杆菌及肺炎克雷伯菌分列前三位,构成比依次为29.95%、14.72%和12.44%。结论该医院康复医学科住院患者医院感染发生率较高,以呼吸道感染为主,脑梗死及脑出血后康复患者为感染高危群体。Objective To analyze the situation of nosocomial infection patients in the department of rehabilitation,in order to find the evidences for hospital infection control and prevention. Methods The distribution of pathogens bacteria from nosocomial infection of patients received by the rehabilitation department of the third affiliate hospital of Sun Yat-sun university from 2015 to 2016 were analyzed. Results Totally 1 111 patients were received in the whole year. 329 cases（ 29. 61%） including 394 times（ 35. 46%） of hospital infection were detected. In the nosocomial infections,the respiratory tract infection（ 72. 34%） were the most,and urinary tract infection（ 20. 30%） took the second place. In isolated pathogens bacteria,Gram-negative bacilli bacteria accounted for 76. 90%. Strains of Pseudomonas aeruginosa,Acinetobacter baumannii,Klebsiella Pneumoniae were among the top three,and the constituent ratios were 29. 95%,14. 72% and 12. 44% respectively. Conclusion The incidence of nosocomial infections in the rehabilitation department of this hospital is high. The most common infection reason is respiratory tract infection. Patients with cerebral infarction and cerebral hemorrhage are high-risk groups after infection.

关 键 词：康复医学科 医院感染 病原菌 防控措施 

分 类 号：R181.32[医药卫生—流行病学]