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目的探讨某部队医院住院患者医院感染的临床特点并分析两年来医院感染管理效果。方法对2010年10月27日0∶00-24∶00时所有住院患者的感染情况进行横断面调查,并与医院2008年回顾性调查情况进行对比分析。结果在1181例住院患者中,共发生医院感染28例次,医院例次感染率为2.73%;呼吸科监护病房和神经内科感染率较高;感染部位主要为下呼吸道感染,占53.57%;原发病在医院感染的构成比中,居前3位的为肿瘤、血液病、神经系统疾病,分别占28.57%、28.57%、25.00%;检出最多的致病菌为铜绿假单胞菌。结论通过落实医院感染管理各项措施,医院感染率低于国家卫生部要求,应继续强化管理以减少医院感染发生。
Objective To investigate the clinical characteristics of nosocomial infection in hospital in a military hospital and analyze the effect of nosocomial infection management in two years. Methods The cross-sectional survey of all hospitalized patients at 0:00 to 24:00 on October 27, 2010 was conducted and compared with the retrospective survey conducted by the hospital in 2008. Results Of the 1181 inpatients, 28 were hospital-acquired infections and 2.73% were hospital-acquired infections. Respiratory care wards and neurology were the most common infections, with lower respiratory tract infections accounting for 53.57% Incidence of nosocomial infections in the composition ratio, the top 3 for the tumor, hematological diseases, neurological diseases, accounting for 28.57%, 28.57%, 25.00%; the most detected pathogens Pseudomonas aeruginosa. Conclusion Through the implementation of various measures of hospital infection management, the hospital infection rate is lower than the requirements of the Ministry of Health, and should continue to strengthen management to reduce the occurrence of nosocomial infections.