2008~2010 年住院患者医院感染情况调查研究.doc

2008~2010 年住院患者医院感染情况调查研究[摘要] 目的：了解住院患者医院感染发病率及病原菌情况。方法：采用前瞻性调查和回顾性调查方法，对本院近3年53 452例住院患者进行调查。结果：53 452住院患者中有882例发生医院感染，感染率为1.65%，医院感染部位前三位为上呼吸道297例，占33.67%，下呼吸道138例，占15.65%，手术切口135例，占15.31%；医院感染病原菌中革兰阴性杆菌174株数，占64.93%，革兰阳性球菌48株数，占17.91%，真菌46株数，占17.16%。结论：三级综合医院已做到标准化和规范化管理控制医院感染；本院今后要针对性地做好抗菌药物管理，改善住院环境。 [关键词] 医院感染；情况调查；统计分析；调查研究 [中图分类号] R197.32 [文献标识码] C[文章编号] 1674-4721（2011）07（b）-142-03 The 2008-2010 inpatient hospital infection situation investigation and analysis QIAO Jianhua Department of Medical Services, Guidong People＇s Hospital of Wuzhou City, Guangxi Zhuang Autonomous Region, Wuzhou 543001, China [Abstract] Objective: To investigate patient＇s hospital infects attack rate and pathogen situation in hospital. Methods: Adopted the prospect investigate and reviews investigate method, surveyed 53 452 impatients in the past three years of our institute. Results: In 53 452 patients there had 882 people took place hospital infect, infection rate 1.65%, department who infects hospital location the top three account for 33.67% for 297 of upper respiratory tract in hospital, 138 lower respiratory tracts account for 15.65%, 135 operation notches account for 15.31%; hospital infect leather blue negative bacillus 174 number of trees account for 64.93% in pathogen, leather blue positive coccus 48 number of trees account for 17.91%, the number of trees of fungi46 accounts for 17.16%. Conclusion: The tertiary general hospital has already made sure the standardized and standardized management control hospital infects; Our academy will manage antibacterial medicine well pointedly in the future, will improve hospital environment. [Key words] Hospital infection; Situation investigation; Statistical analysis; Analysis 医院感染会造成院内传播甚至在社会上流行，它既增加患者的住院时间和费用，严重者会威胁患者的生命，也对社会造成重大的安全影响，因此医院感染问题日益受到政府、医疗管理机构和医务人员的重视。为进一步做好医院感染预防工作，减少医院感染的发生，现将本院2008～2010年住院患者的医院感染情况进行流行病学调查和分析，从而制定出更加有效的防控措施。 1 资料与方法 1.1 一般资料 以全院2008年1月1日～2010年12月31日全部出院的53 452 份病历为调查对象。