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目的分析传染病医院住院患者医院感染现状,为提高医院感染监测管理水平,降低医院感染率提供参考依据。方法对2012年度医院感染监测病例进行回顾性调查分析;对各科室的医院感染率、医院感染发生部位及病原体分布进行统计分析。结果 2012年度共监测住院患者32 683例,发生医院感染1 139例、1 195例次,感染率3.48%、例次感染率3.66%;感染率最高的科室为ICU内科;医院感染高发部位为呼吸系统和消化系统,分别占34.73%和33.39%;共培养出病原体441株,其中革兰阴性菌213株占48.30%、革兰阳性菌182株占41.27%、真菌45株占10.20%,前5位病原体依次为大肠埃希菌、肺炎克雷伯菌、表皮葡萄球菌、金黄色葡萄球菌、铜绿假单胞菌,分别占18.82%、14.51%、8.84%、6.12%、5.90%。结论传染病医院医院感染涉及医疗过程中的诸多环节,从这些环节入手进行有针对性的干预,才能有效地预防和控制医院感染,从而保障患者健康、提高医疗质量和安全。
Objective To analyze the current status of nosocomial infection in hospital inpatients with infectious diseases in order to provide reference for improving the management level of nosocomial infection monitoring and reducing the nosocomial infection rate. Methods Retrospective analysis of hospital infection surveillance cases in 2012 was carried out. Statistical analysis was made on the prevalence of nosocomial infections and the distribution of nosocomial infections in various departments and departments. Results A total of 32 683 inpatients were hospitalized in 2012 with 1,139 cases of nosocomial infection, 3.48% of them having nosocomial infections, 3.48% of them having nosocomial infections, and 3.66% of cases of nosocomial infections. The most infected departments were ICU physicians. The high incidence of nosocomial infections was respiratory System and digestive system accounted for 34.73% and 33.39% respectively; 441 strains of pathogens were co-cultivated, of which 213 strains accounted for 48.30%, 182 strains Gram-positive bacteria accounted for 41.27%, fungi 45 strains accounted for 10.20% The pathogens were Escherichia coli, Klebsiella pneumoniae, Staphylococcus epidermidis, Staphylococcus aureus and Pseudomonas aeruginosa, accounting for 18.82%, 14.51%, 8.84%, 6.12% and 5.90% respectively. Conclusions Hospital Infectious Diseases Hospital infection involves many aspects of the medical process. Starting from these aspects, targeted interventions can effectively prevent and control nosocomial infections, so as to protect patients’ health and improve the quality and safety of medical care.