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[目的]探讨发生医院感染暴发的危险因素,控制和消除医院感染暴发事件及其造成的危害,更好地做好医院感染的防控工作。[方法]对1989～2009年国内通报的医院感染暴发事件发生情况进行分析总结,寻找感染暴发的高危因素,有针对性的提出预防、控制措施。[结果]医院感染高发科室为婴儿室,占60%,主要为细菌感染,占64%;感染源1例为见习医生,5例为产妇,其余不详;传播途径以日常接触传播、医源性传播为主。[结论]纵观近20年通报的医院感染暴发事件,其发生都有许多相同之处,通过提高工作人员对医院感染的认识,加强组织管理,严格执行相应的法律法规,积极开展重点部门的目标性监测,从而避免医院感染暴发事件的发生。
[Objective] To explore the risk factors of outbreak of nosocomial infection, to control and eliminate the outbreak of nosocomial infection and its harm, and to better prevent and control nosocomial infections. [Methods] The incidence of nosocomial outbreaks reported in China from 1989 to 2009 were analyzed and summarized. The high risk factors of outbreak of nosocomial infection were searched, and the prevention and control measures were pointed out. [Results] The prevalence rate of hospital infection in infants was 60%, mainly accounting for 64% of the total. The infection source was 1 case of trainee doctor and 5 cases were maternal, while the others were unknown. The route of transmission was routinely transmitted, iatrogenic Spread mainly. [Conclusion] Looking at the outbreak of nosocomial infection reported in the past 20 years, there are many common occurrences. By raising staff awareness of nosocomial infections, strengthening organization and management, strictly implementing the corresponding laws and regulations, and actively carrying out the development of key departments Targeted monitoring, so as to avoid the occurrence of nosocomial infections and outbreaks.