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目的了解康复医学科患者住院期间医院感染情况,为制定感染防控方法提供依据。方法通过回顾性调查,对某医院康复医学科住院患者的医院感染现状及感染病原菌分布进行调查。结果连续2年调查该医院康复医学科住院患者1 111例,查出医院感染患者329例、394例次,医院感染发生率为29.61%、感染例次率为35.46%。感染部位中呼吸道感染占72.34%,泌尿道感染占20.30%。检出的感染病原菌中革兰阴性杆菌占76.90%,铜绿假单胞菌、鲍曼不动杆菌及肺炎克雷伯菌分列前三位,构成比依次为29.95%、14.72%和12.44%。结论该医院康复医学科住院患者医院感染发生率较高,以呼吸道感染为主,脑梗死及脑出血后康复患者为感染高危群体。
Objective To understand the prevalence of nosocomial infections in hospital during the period of hospitalization for rehabilitation medicine, and to provide basis for the prevention and control of infection. Methods A retrospective survey was conducted to investigate the prevalence of nosocomial infections and the distribution of infectious pathogens in inpatients in a hospital’s rehabilitation medicine department. Results A total of 1 111 in-patients were retrospectively studied in the department of rehabilitation medicine in the hospital for 2 consecutive years. Among them, 329 cases and 394 cases of nosocomial infections were found. The incidence of nosocomial infection was 29.61% and the incidence of infection was 35.46%. Infected parts of the respiratory tract infections accounted for 72.34%, urinary tract infections accounted for 20.30%. Among the detected pathogens, Gram-negative bacilli accounted for 76.90%, Pseudomonas aeruginosa, Acinetobacter baumannii and Klebsiella pneumoniae were the top three, the constituent ratios were 29.95%, 14.72% and 12.44%, respectively. Conclusion The hospital infection rate of hospitalized patients in rehabilitation medicine department is high, with respiratory tract infection as the main infection group. The patients with cerebral infarction and cerebral hemorrhage recovered from high risk group.