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目的了解某三级医院住院患者的医院感染状况及临床分布特点,为制定有效防控措施提供依据。方法通过回顾性调查,对某医院2008-2012年期间住院患者医院感染的情况进行调查与分析。结果该医院5年间,共出院患者186 186例,发生感染患者6 005例,医院感染发生率平均为3.23%,例次感染率为3.39%。感染部位以下呼吸道、泌尿道和上呼吸道为主,感染率分别为47.92%、12.68%和10.62%。感染患者主要分布于ICU、血液科和胸外科,感染率为37.35%、9.68%和8.41%。结论该医院住院患者医院感染以呼吸道感染为主,感染率最高的科室是ICU,应把ICU医院感染控制作为重点。
Objective To understand the characteristics of nosocomial infections and the clinical distribution of inpatients in a tertiary hospital and provide evidence for effective prevention and control measures. Methods A retrospective survey was conducted to investigate the prevalence of nosocomial infections in hospital from 2008 to 2012 in a hospital. Results During the five years, 186 186 patients were discharged and 6 005 patients were infected. The average incidence of nosocomial infections was 3.23% and the incidence of nosocomial infections was 3.39%. The following respiratory tract, urinary tract and upper respiratory tract were the main infection sites with infection rates of 47.92%, 12.68% and 10.62% respectively. Infected patients mainly distributed in the ICU, hematology and thoracic surgery, the infection rates were 37.35%, 9.68% and 8.41%. Conclusion The majority of hospital-acquired nosocomial infections in this hospital are respiratory infections, with the highest infection rate being the ICU. ICU nosocomial infection control should be the focal point.