院内感染监控与感染管理制度探讨  

Discussion on Nosocomial Infection Monitoring and Infection Management System

作　　者：范茹娟[1] 王灵红[1] 王亚玲[1] FAN Ru-juan;WANG Ling-hong;WANG Ya-ling(Shaoxing No.2 Hospital)

机构地区：[1]绍兴第二医院

出　　处：《医院管理论坛》2020年第5期77-79,共3页Hospital Management Forum

摘　　要：目的基于院内感染监控数据分析院内感染管理存在的不足,完善院内感染管理相关政策。方法回顾性分析2018年1月至2019年12月住院的101650例患者的病例资料及病原微生物监测资料。结果2018年1月—12月院内感染发生率为1.58%,2019年1月—12月为1.51%,院内感染发生率略低,但差异无统计学意义(p>0.05);2018年1月—12月多重耐药菌发生率为1.04%,2019年1月—12月为0.69%,明显降低(p<0.001);2018年1月—12月新生儿院内感染率为0.33%,2019年1月—12月为0.27%,均处于低水平波动,差异无统计学意义(p>0.05)。结论院内感染发生率、多重耐药菌发生率及新生儿感染发生率略有下降,但院内感染管理工作形势仍然严峻,仍需加大院感防控各方面的投入。Objective To analyze the deficiencies of nosocomial infection management based on the nosocomial infection monitoring data,and to improve nosocomial infection management policies.Methods A retrospective analysis was performed on case data and pathogenic microorganism monitoring data of 101650 patients admitted to the hospital from January 2018 to December 2019.Results The incidence of nosocomial infection was slightly low,and the number of January to December 2018(1.58%)was not significantly different from that of January to December 2019(1.51%)(p>0.05).The incidence of multi-drug resistant bacteria of January to December 2019(0.69%)was significantly lower than that of January to December 2018(1.04%)(p<0.001).The nosocomial infection rate in neonates of January to December 2018 and January to December 2019 were 0.33%and 0.27%,which fluctuated at low level and showed no significant difference(p>0.05).Conclusion Although the incidence rates of nosocomial infection,multi-drug resistant bacteria and neonatal nosocomial infection in the hospital decrease slightly,the management of nosocomial infection is still tense and requires more investment.

关 键 词：医院感染 多重耐药菌 院感监测 管理政策 

分 类 号：R197.3[医药卫生—卫生事业管理]