上海市某医院感染死亡患者相关因素分析

发布时间：2019-05-16 05:36

【摘要】：目的了解上海某三级综合性医院的医院感染死亡患者相关危险因素及其成本效益,加强医院感染的相关危险因素的动态监测,并及时采取相应的医院感染预防措施,使医院感染管理决策更具科学性、合理性。方法通过医院感染监测系统和医师工作站获取该医院2012-2013年医院感染死亡病例相关数据,运用Excel2013以及SPSS18.0对相关数据进行整理、分析。结果两年发生医院感染患者共1 506例,医院感染死亡63例,病死率为4.2%;医院感染患者年龄(65.4±16.6)岁,60岁的老年患者死亡比例最高;住院天数为(2~2 164)d,中值为28d;医院感染死亡患者下呼吸道感染率为54.0%;科室分布中以急救科最多,占20.6%;感染的革兰阴性菌占62.1%;医院感染死亡患者中住院总费用中位值为168 174.4元。结论上海市某医院医院感染病死率处于较高水平,医院感染死亡患者住院天数的延长,增加总体医疗费用;感染部位以下呼吸道感染为主,主要病原菌为革兰阴性菌;患者年龄大、基础疾病严重是医院感染的危险因素。
[Abstract]:Objective to understand the related risk factors and cost-effectiveness of hospital infection and death in a three-grade general hospital in Shanghai, to strengthen the dynamic monitoring of risk factors related to hospital infection, and to take corresponding preventive measures of hospital infection in time. Make the hospital infection management decision more scientific and reasonable. Methods the data of hospital infection death cases in this hospital from 2012 to 2013 were obtained by hospital infection surveillance system and physician workstation. Excel2013 and SPSS18.0 were used to sort out and analyze the related data. Results A total of 1 506 patients with hospital infection occurred in two years, 63 patients died of hospital infection, the fatality rate was 4.2%, the age of hospital infection patients was (65.4 卤16.6) years old, and the mortality rate of elderly patients aged 60 years was the highest. The hospitalization days were (2 鈮，

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