2013年三甲综合医院医院感染现状分析

发布时间：2018-06-28 22:02

本文选题：医院感染 + 感染率　；参考：《中华医院感染学杂志》2014年20期

【摘要】：目的通过对三甲综合医院2013年1-12月医院感染的现状进行调查分析,结合医院实际情况针对调查结果提出干预措施,以有效控制和减少医院感染的发生。方法 2013年1-12月由医院感染控制科专职人员对全部出院病历进行回顾性调查,与临床医师主动诊断报告相结合,填写统一的《医院感染病例调查登记表》,整理相关数据,并对各科室患者发生感染例数、感染部位和感染病原菌分布进行统计、描述和分析,数据采用SPSS13.0软件进行处理。结果 2013年1-12月共调查住院患者27 315例,发生医院感染529例,感染率为1.94%;内科系统感染前3位科室分别为血液移植科、重症医学科和呼吸内科,感染率依次为13.68%、8.48%、3.90%;外科系统感染前3位科室分别为烧伤科、心胸外科、血管外科,感染率依次为5.30%、3.04%、2.78%;呼吸系统、泌尿系统和血液系统为主要感染部位,分别占35.16%、23.25%、19.85%;检出病原菌革兰阳性菌占45.77%、革兰阴性菌占31.51%、真菌占22.72%。结论应有效落实感染控制措施,加强对重点科室、重点人群的监管,减少侵入性操作,合理使用抗菌药物,多角度、多要素、多环节控制,以减少医院感染的发生。
[Abstract]:Objective to investigate and analyze the present situation of nosocomial infection in Sanjia General Hospital from January to December 2013, and to put forward intervention measures to effectively control and reduce nosocomial infection. Methods from January to December 2013, a retrospective investigation was carried out on all the discharged medical records by the full-time staff of the Hospital infection Control Department, and combined with the active diagnosis report of the clinicians, the unified nosocomial infection case investigation Registration form was filled out, and the relevant data were collated. The number of cases of infection, the location of infection and the distribution of pathogenic bacteria were analyzed, and the data were analyzed by SPSS 13.0 software. Results from January to December 2013, a total of 27 315 inpatients were investigated, 529 cases of nosocomial infection occurred, the infection rate was 1.94%, the first 3 departments of internal medical system infection were blood transplantation department, intensive medicine department and respiratory department, respectively. The infection rate was 13.68 and 8.48 and 3.90 respectively. The infection rates in the first three departments of surgical system were burn department, cardiothoracic surgery and vascular surgery respectively. The infection rate was 5.30and 3.040.Respiratory system, urinary system and blood system were the main infection sites. The pathogenic bacteria Gram-positive bacteria accounted for 45.77, Gram-negative bacteria accounted for 31.51%, fungi accounted for 22.72%. Conclusion the infection control measures should be carried out effectively, the supervision of key departments and the key population should be strengthened, the invasive operation should be reduced, the antibiotics should be used rationally, many angles, factors and links should be controlled, so as to reduce the incidence of nosocomial infection.
【作者单位】：二炮总医院感染控制科;军事医学科学院疾病预防控制所;
【基金】：国家自然科学基金资助项目(81373053)
【分类号】：R181.32

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