某三级医院医院感染现状及相关因素分析  

Analysis of Nosocomial Infection Status and Related Factors in a Tertiary Hospital

作　　者：陈燕珍 廖丽[1] 余华容 李彤[1] CHEN Yanzhen;LIAO Li;YU Huarong;LI Tong(Infection Management Office,Xinyi People's Hospital Hospital,Xinyi Guangdong 525300,China)

机构地区：[1]信宜市人民医院医院感染管理办公室,广东信宜525300

出　　处：《中国卫生标准管理》2022年第2期119-123,共5页China Health Standard Management

摘　　要：目的通过描述性流行病学法,思考院内感染现状及相关的危险因素,为制定医院感染控制措施提供参考依据。方法选取2020年12月—2021年12月收治的1077例信宜市人民医院住院患者,进行医院感染横断面调查。通过调查研究,利用床旁调研、住院病历整理等方法,认真填写《医院感染现患调研表》。通过软件SPSS 19.0对其中的数据展开整理研究。结果院内感染人数13人,人次感染率1.21%,感染15例次,例次感染率为1.39%。医院感染例次现患率前五位分别为:重症医学科9.09%、肿瘤血液科5.56%、消化内科4.88%、内分泌内科4.65%、新生儿科3.70%。从感染部位看,医院感染以呼吸道感染最多(46.67%),其次是泌尿系统感染(26.67%)。Logistic回归模型多因素分析的主要危险因素为:使用抗生素、动静脉插管、泌尿道插管、使用呼吸机(P<0.05)。结论必须根据院内感染的高发科室及位置、部分存在危险因素群体等对其实施针对性干预、处理,由此能够尽可能地减少院内感染率。Objective To consider the current situation of nosocomial infection in a hospital and the related risk factors through descriptive epidemiology,so as to provide reference for formulating nosocomial infection control measures.Methods A cross-sectional survey of nosocomial infection in 1077 patients hospitalized in Xinyi People's Hospital from December 2020 to December 2021 was conducted.Through investigation and research,used the methods of bedside investigation,inpatient medical records,and so on,carefully fill in the Survey Form of Nosocomial Infection.The software SPSS 19.0 was used to sort out the data.Results There were 13 nosocomial infections,the person-to-person infection rate was 1.21%,15 cases of infection,the per-case infection rate was 1.39%.The top five cases of nosocomial infection were 9.09%in ICU,5.56%in oncology hematology,4.88%in gastroenterology,4.65%in endocrinology and 3.70%in neonatology.Respiratory tract infection was the most common nosocomial infection(46.67%),followed by urinary tract infection(26.67%).The main risk factors in Logistic regression model were antibiotic use,arteriovenous intubation,urinary intubation and ventilator use(P<0.05).Conclusion It is necessary to carry out targeted intervention and treatment according to the departments and locations with high incidence of nosocomial infection and some groups with risk factors,so as to reduce the nosocomial infection rate as much as possible.

关 键 词：医院感染 危险因素 横断面研究 患病率 LOGISTIC回归分析 控制措施 

分 类 号：R639[医药卫生—外科学]