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目的探讨某综合医院住院患者医院感染的临床特点。方法对2008年住院的所有患者的医院感染情况进行回顾性调查。结果在10 793例住院患者中,共发生医院感染599例次,医院感染率为5.5%;神经内科、烧伤科和干部病房的医院感染率较高,各科室间医院感染差异有统计学意义(P<0.01);感染部位以上呼吸道为主(40.2%);原发病发生医院感染的构成比,居前3位的为烧伤(19.0%)、各种恶性肿瘤(11.9%)和脑梗死(9.4%);各年龄段医院感染发生率之间的差异有统计学意义(P<0.01)。结论应加强对重点科室、重点病种和重点人群医院感染的监控。
Objective To investigate the clinical characteristics of nosocomial infection in a general hospital. Methods Retrospective investigation was performed on the nosocomial infections of all patients hospitalized in 2008. Results Among 10 793 hospitalized patients, 599 cases of nosocomial infection occurred and the rate of nosocomial infection was 5.5%. The prevalence of nosocomial infection was higher in neurology, burn department and cadre wards, P <0.01). The upper respiratory tract was the most common site of infection (40.2%). The proportions of nosocomial infections in the primary disease were highest in the group of burns (19.0%), various malignancies (11.9%) and cerebral infarction 9.4%). The incidence of nosocomial infection among all age groups was statistically significant (P <0.01). Conclusion The monitoring of nosocomial infections in key departments, key diseases and key populations should be strengthened.