论文部分内容阅读
目的了解本医院院内感染现状,找出医院感染相关因素,为制定防控措施提供依据。方法采取前瞻性监测和回顾性调查相结合的方法,对该医院2006年12月～2008年10月21796例出院患者病例资料进行了调查与分析。结果在调查的21796例住院病人中共发生医院感染535例,感染率为2.46%。感染部位以下呼吸道为主,占33.4%,上呼吸道感染为21.4%;血液感染占10.6%。医院感染主要致病菌以白色假丝酵母菌为主,占检出病原菌总株数的16.03%。医院感染的危险因素主要为放化疗、住院时间长、大量使用广谱抗菌药物等。结论本医院院内感染发病率低于国内平均水平,以呼吸道感染为主,要把肿瘤病人作为重点防护对象。
Objective To understand the current status of nosocomial infection in this hospital and to find out the related factors of nosocomial infection so as to provide the basis for making prevention and control measures. Methods The prospective surveillance combined with retrospective investigation was used to investigate and analyze the data of 21 796 discharged patients from December 2006 to October 2008 in this hospital. Results Among the 21 796 hospitalized patients surveyed, 535 cases of nosocomial infections occurred, with an infection rate of 2.46%. The main respiratory tract was below the infection site, accounting for 33.4%, upper respiratory tract infection was 21.4%; blood infection accounted for 10.6%. The main pathogens of nosocomial infection are Candida albicans, accounting for 16.03% of the total number of pathogens detected. The main risk factors for nosocomial infection are radiotherapy and chemotherapy, long hospital stay, extensive use of broad-spectrum antibiotics, and the like. Conclusion The incidence of nosocomial infection in our hospital is lower than the national average, with respiratory tract infection as the main target.