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[目的]了解青岛市市立医院各主要科室院内感染发生情况及其致病菌的分布情况,为制定控制医院感染的措施提供依据。[方法]对青岛市市立医院2010年住院患者院内感染相关资料进行分析。[结果]全年合计出院18 809例,发生医院感染的667例,医院感染发生率为3.55%。医院感染发生率,<7岁为3.60%,7～17岁为2.59%,18～40岁为2.65%,41～65岁为3.78%,66岁以上为4.15%(P<0.01);ICU病房最高(11.41%),超过7%的还有肾内科(7.83%)、神经内科(7.07%)、肿瘤科(7.40%)、烧伤科(7.72%)、中医科(8.33%)。全年检测院内感染者的标本10 518份,检出致病菌737株,其中金黄色葡萄球菌占10.45%,β-溶血性链球菌占6.92%,肺炎克雷伯菌占11.13%,大肠埃希菌占18.72%,铜绿假单胞菌占13.98%,白色念珠菌等真菌占17.64%。[结论]2010年青岛市市立医院院内感染率与国内综合性医院感染率基本一致,院内感染的致病菌以大肠埃希菌、铜绿假单胞菌、金黄色葡萄球菌、真菌为主。
[Objective] To understand the nosocomial infection and the distribution of pathogenic bacteria in the main sections of Qingdao Municipal Hospital, and provide evidence for the establishment of measures to control nosocomial infections. [Methods] The data of inpatients with nosocomial infection in Qingdao Municipal Hospital in 2010 were analyzed. [Results] 18 809 cases were discharged in total in the whole year, 667 cases of nosocomial infection occurred, and the incidence of nosocomial infection was 3.55%. The prevalence of nosocomial infections was 3.60% in patients aged <7 years, 2.59% in patients aged 7-17 years, 2.65% in patients aged 18-40 years, 3.78% in patients 41-65 years and 4.15% in patients over 66 years (P <0.01) The highest grade was 11.41%. More than 7% were nephrology (7.83%), neurology (7.07%), oncology (7.40%), burn (7.72%) and traditional Chinese medicine (8.33%). A total of 10 518 samples of nosocomial infections were detected in the year, of which 737 were pathogenic bacteria, of which Staphylococcus aureus accounted for 10.45%, β-hemolytic streptococcus accounted for 6.92%, Klebsiella pneumoniae accounted for 11.13% Xymph accounted for 18.72%, Pseudomonas aeruginosa accounted for 13.98%, Candida albicans and other fungi accounted for 17.64%. [Conclusion] Infection rate of Qingdao Municipal Hospital in 2010 was basically the same as that of general hospital in China. Pathogenic bacteria of nosocomial infection were Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus and fungi.