三甲医院医院感染现状分析

发布时间：2018-03-30 16:12

本文选题：医院感染　切入点：三甲医院　出处：《中华医院感染学杂志》2014年06期

【摘要】：目的通过对三甲医院医院感染现状的调查和分析,有针对性的提出干预措施,以期降低医院感染发生率。方法对2011年7月-2012年6月医院各科室感染例数、感染部位和感染病原菌进行统计描述。结果调查医院住院患者33 250例,发生医院感染602例,感染率为1.81%,内科感染率最高的科室为内分泌科和血液肿瘤科,分别为4.53%和2.90%,外科感染率最高的科室为烧伤科和胸外科分别为5.17%和5.08%;呼吸道是主要的感染部位占76.07%;检出病原菌革兰阴性菌为主占73.80%,病原菌检出前3为依次为肺炎克雷伯菌、大肠埃希菌和鲍氏不动杆菌,分别占22.29%、12.05%及11.45%。结论应增加医院感染管理力度,重点控制科室感染,减少侵入性操作和抗菌药物滥用,完善病房管理制度和探视制度,加强健康教育干预,以降低医院感染。
[Abstract]:Objective to investigate and analyze the present situation of nosocomial infection in the third Class A Hospital, and to put forward the intervention measures in order to reduce the incidence of nosocomial infection. Methods the number of nosocomial infection cases from July 2011 to June 2012 was analyzed. Results 33,250 hospitalized patients, 602 cases of nosocomial infection and 1.81% infection rate were investigated. The departments with the highest infection rate of internal medicine were Endocrinology and Blood Oncology. The highest infection rate was 5.17% in burn department and 5.08% in thoracic surgery, 76.07% in respiratory tract, 73.80% in gram-negative bacteria, and the first 3 were Klebsiella pneumoniae. Escherichia coli and Acinetobacter baumannii accounted for 12.05% and 11.45%, respectively. Conclusion the management of nosocomial infection should be increased, the infection of department should be controlled, the invasive operation and antimicrobial abuse should be reduced, and the management system and visiting system of ward should be improved. Strengthen health education intervention to reduce nosocomial infection.
【作者单位】：北京大学医学部;黑龙江省医院香坊院区感染管理科;
【基金】：国家科技支撑计划基金项目(2009BAI76B-01)
【分类号】：R181.32

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