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目的了解某三级综合医院住院病人医院感染发生的特点及相关因素,提出相应防控对策。方法采用前瞻性调查方法,对河南某三级综合性医院2013年9月所有住院患者医院感染发生率及其临床分布进行监测。结果该医院2013年9月共监测住院患者6 180例,发生医院感染患者68例、71例次,医院感染月发病率为1.10%、例次感染率为1.15%。月感染发病率≥8.0%的病区分别是儿科重症监护室、呼吸科重症监护室、综合重症医学科、神经科重症监护室。感染部位以下呼吸道感染为主,其次为泌尿系统感染。共培养出病原菌352株,革兰阴性杆菌占64.2%,鲍曼不动杆菌、铜绿假单胞菌、大肠埃希菌、肺炎克雷伯菌和金黄色葡萄球菌为优势菌群。结论该医院住院病人医院感染主要集中在各重症监护病房,主要防护对策是减少侵入性操作和加强病原学监测及药敏试验。
Objective To understand the characteristics and related factors of inpatients’ nosocomial infection in a tertiary general hospital and put forward corresponding prevention and control measures. Methods The prospective investigation was used to monitor the incidence and clinical distribution of nosocomial infections among all hospitalized patients in a tertiary general hospital in Henan Province in September 2013. Results In September 2013, the hospital monitored 6 180 inpatients, 68 cases of nosocomial infections and 71 cases of nosocomial infections. The monthly incidence of nosocomial infections was 1.10% and the rate of nosocomial infections was 1.15%. The monthly incidence of infection ≥ 8.0% of the wards were pediatric intensive care unit, respiratory intensive care unit, integrated critical care medicine, neurology intensive care unit. The main respiratory tract infection following the site of infection, followed by urinary tract infections. A total of 352 pathogenic bacteria were co-cultivated, and Gram-negative bacilli accounted for 64.2%. Acinetobacter baumannii, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus were dominant bacteria. Conclusion The hospital inpatient hospital infection mainly concentrated in the intensive care unit, the main protective measures are to reduce the invasive operation and strengthen the etiological monitoring and drug susceptibility testing.