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目的了解某三甲医院住院病人医院感染情况,为制定有效措施提供可靠依据。方法采取前瞻性目标监测方法,对该医院2011年全年所有住院患者的医院感染情况进行监测与分析。结果本年度该医院总计出院患者58 573例,查出医院感染1 396例、1 456例次,感染发病率为2.38%、例次发病率为2.49%,日感染发病率2.15‰、日例次发病率2.24‰。医院感染发生部位中,以上呼吸道发生率最高,构成比为58.79%;其次为下呼吸道(18.27%)和胃肠道(10.65%)。从感染患者送检标本中共检测到病原菌1 420株,其中大肠埃希菌、铜绿假单胞菌和金黄色葡萄球菌分居前三位,构成比依次为25.07%、21.13%和19.30%。结论该医院住院患者医院感染以上呼吸道感染为主,应以此为特点制定防控措施,加强重点科室感染管理。
Objective To understand the prevalence of nosocomial infections in a top three hospital and provide a reliable basis for the development of effective measures. Methods A prospective target monitoring method was used to monitor and analyze the hospital infection of all inpatients in the hospital in 2011. Results A total of 58 573 discharged patients were hospitalized this year. Among them, 1 396 and 1 456 were hospital-acquired infections, with an incidence rate of 2.38%, an incidence rate of 2.49% and a daily incidence of 2.15 ‰, with a daily incidence of 2.15% Rate 2.24 ‰. The incidence of nosocomial infections was the highest, accounting for 58.79%, followed by lower respiratory tract (18.27%) and gastrointestinal tract (10.65%). A total of 1 420 strains of pathogens were detected in the specimens from infected patients. Among them, Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus were the top three, accounting for 25.07%, 21.13% and 19.30%, respectively. Conclusion The hospital inpatient hospital infection mainly respiratory infections should be based on this feature to develop prevention and control measures to strengthen the management of key departments of infection.