目的了解中医医院住院患者医院感染的发生状况,结合中医院特点做好医院感染控制工作。方法采取横断面调查方法,对某中医医院住院患者医院感染现患率进行调查与分析。结果调查当日实查该医院住院患者618例,查出医院获得感染15例,感染现患率为2.43%;社区获得感染130例,感染现患率为21.04%。医院内感染患者主要分布在肾病科、烧伤泌尿外科和耳鼻喉科,构成比依次为16.67%、8.57%和8.33%;130例社区获得感染患者主要分布在儿科、烧伤泌尿外科和社区病房,构成比依次为为89.06%、34.29%和33.33%。均以呼吸道感染为主,分别占60.00%和70.77%。调查日抗菌药物使用率34.14%,治疗用药患者病原学标本送检率为12.73%。结论中医院住院患者医院感染以社区获得性感染为主,该医院使用抗菌药物的患者病原学标本送检率偏低。 Objective To understand the prevalence of nosocomial infection in hospitalized patients in traditional Chinese medicine hospitals and combine with characteristics of traditional Chinese medicine hospitals to control nosocomial infections. Methods A cross-sectional survey method was used to investigate and analyze the prevalence of nosocomial infections in hospitalized patients in a Chinese medicine hospital. Results On the day of investigation, 618 inpatients in this hospital were investigated. Among them, 15 cases were found to be hospital-acquired and the prevalence rate was 2.43%. In community, 130 cases were found and the prevalence rate was 21.04%. Inpatients with nosocomial infections were mainly located in nephrology, burns, urology and otolaryngology, with the proportions of 16.67%, 8.57% and 8.33%, respectively. 130 cases of community-acquired infections mainly distributed in pediatrics, burn urology and community ward, The ratios were 89.06%, 34.29% and 33.33%, respectively. Respiratory infections are the main, accounting for 60.00% and 70.77%. On the survey day, the use rate of antibacterials was 34.14%. The rate of etiological specimens in treatment patients was 12.73%. Conclusions Hospital-acquired hospital infection in Chinese medicine hospital is mainly community-acquired infection. The rate of etiological specimens sent to patients in hospitals using antimicrobial agents is low.