出院病人医院感染情况3年调查  

NOSOCOMIAL INFECTION:AN ANALYSIS OF PATIENTS DISCHARGED IN THREE YEARS

作　　者：任丽娟[1] 张云[1] 于瑞兰[1] 王晖[1] 张少萍[1] 

机构地区：[1]青岛大学医学院附属医院感染管理科,山东青岛266003

出　　处：《齐鲁医学杂志》2003年第3期307-309,共3页Medical Journal of Qilu

摘　　要：①目的　了解本院医院感染的发生与分布 ,分析发生医院感染的相关因素 ,制定预防控制医院感染的措施 ,降低医院感染发生率。②方法　对我院 2 0 0 0年 7月～ 2 0 0 2年 6月全院出院病人 5 2 987例进行回顾性调查。③结果　本次调查共发生医院感染病例 2 4 2 9例 ,感染率为 4 .5 8% ,例次感染率 5 .4 2 %。科室医院感染率以肾内科、血液内科最高。医院感染的部位以呼吸系统为主。医院感染发生与侵袭性操作密切相关。在疾病分类中 ,以恶性肿瘤、泌尿生殖系统疾病为最多。致病菌以白色念珠菌、铜绿假单孢菌居前。在 1189例死亡病人中 ,12 7例直接或间接与医院感染有关。④结论　医院感染与原发病、侵袭性操作。Objective To investigate the occurrence and distribution of nosocomial infection, to analyze the related factors and make measures so as to decrease the incidence of the infection. Methods A total of 52 987 cases, discharged from July, 2000 to June,2002, were reviewed retrospectively. Results Nosocomial infection was found in 2 429 cases. The incidence was 4.58%. More cases occurred in the departments of nephrology and hematology. The respiratory tract was mostly involved. The infection was found to be related to major operations. It was commonly seen in malignancy and urinogenital diseases. The majority was caused by C. albicans and Pseudomonas aeruginosa. Conclusion The occurrence of nosocomial infection was correlated with the primary diseases, major operations and application of antibiotics.

关 键 词：出院病人 医院感染 相关因素 预防 控制 回顾性研究 交叉感染 数据收集 

分 类 号：R197.323[医药卫生—卫生事业管理] R181.34[医药卫生—公共卫生与预防医学]