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查阅该医院1986～1988年全部住院死亡病历。以其中入院志、医嘱单、化验单、体温曲线,病程记录、护理记录与死亡总结等资料,作为确定院内感染的依据。考虑到感染的潜伏期问题,对在住院48小时内发生的感染病例,不作统计。该院床位428张。1986～1988年收住病人17.357例,其中死亡364例,病死率2.1％。本次查到的死亡病历257份,占应查病历的70.6％。根据调查结果分析如下:①不同年份的院内感染情况在1986～1988年内的257例死亡病例中,有29例发生院内感染。住院死亡病例的院内感染率1986年为10.84％,1987年为17.86％,1988年为5.56％,3年平均为11.28％。②不同部位的院内感染情
The hospital from 1986 to 1988 all hospitalized death records. To hospital admission, doctor’s orders, laboratory tests, body temperature curve, record the course of disease, nursing records and death summary and other information, as the basis for the identification of nosocomial infections. Taking into account the incubation period of infection, the incidence of infection within 48 hours of hospitalization, no statistics. The hospital beds 428. From 1986 to 1988, 17.357 patients were admitted to the hospital, of which 364 died and the case fatality rate was 2.1%. The found 257 death records, accounting for 70.6% of medical records should be checked. According to the survey results are as follows: ① nosocomial infections in different years in 1986 to 1988, 257 cases of deaths, 29 cases of nosocomial infection. Nosocomial infections in inpatient deaths were 10.84% in 1986, 17.86% in 1987, 5.66% in 1988 and 11.28% in three years. ② different parts of the nosocomial infection