急诊内科患者医院感染目标性监测分析

发布时间：2018-04-09 04:08

  本文选题：急诊内科　切入点：医院感染　出处：《中华医院感染学杂志》2014年09期

【摘要】：目的分析急诊内科患者医院感染发生情况,并提出相应的预防对策。方法采用回顾性调查方法对医院急诊内科220例住院患者的临床资料进行目标性监测,分析器械使用情况及相关感染率,并进行数据对比。结果 220例患者合计住院3591d,发生医院感染43例,感染率为19.5%,日感染率为11.9‰,根据病情严重程度调整日感染率为4.5‰;感染部位以呼吸道为主占60.4%,其次为泌尿系统占27.9%;呼吸机、留置尿管和中心静脉导管的使用率为15.56%、81.25%、33.33%,导管相关性肺部感染、血流感染、泌尿道感染分别为23.8%、2.20%和0;共分离出病原菌119株,其中革兰阴性菌86株占72.27%;革兰阳性菌33株占27.73%。结论急诊内科感染率较高,尤其是呼吸机相关性肺部感染率显著高于国外水平,感染病原菌以非发酵菌为主,病原菌呈多药耐药性,应采取有针对性的干预措施。
[Abstract]:Objective to analyze the incidence of nosocomial infection in patients in emergency department of internal medicine and to put forward corresponding preventive measures.Methods the clinical data of 220 inpatients in the department of emergency department of hospital were investigated retrospectively. The use of instruments and the relative infection rate were analyzed and compared.Results 220 patients were hospitalized for 3 591 days, 43 patients had nosocomial infection, the infection rate was 19.55.The daily infection rate was 11.9 鈥，

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