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目的了解基层医院感染的发病特点、规律及有关因素，加强管理。方法对潍坊市所属１８所医院的１３９ ０９０名住院患者进行了医院感染监测，并对其中 ２ ３８２例医院感染患者进行了 １４项内容的调查研究。结果医院感染发病率 ４． １９％，医院感染以呼吸道、胃肠道感染居 １、２位。泌尿道插管占泌尿道感染的 ５０． ６５％，老年人分别占泌尿道、呼吸道感染的 ５０．６％％、４２．２１％，感染患者微生物监测阳性率３．９１％。结论基层医院胃肠道感染多发，老年患者易发泌尿道、呼吸道感染；侵袭性操作易引起相应部位的感染；临床医生凭经验选用抗生素。
Objective To understand the characteristics, laws and related factors of primary hospital infection and to strengthen management. Methods A total of 139 090 inpatients from 18 hospitals in Weifang City were monitored for nosocomial infection. A total of 2 382 cases of nosocomial infections were investigated in 14 subjects. Results The incidence of nosocomial infection 4. 19%, nosocomial infection in the respiratory tract, gastrointestinal infections in 1,2. Urinary tract intubation accounts for 50 of urinary tract infections. 65%, respectively. The elderly accounted for 50.6 %% and 42.21% of the urinary tract and respiratory tract infections, respectively. The positive rate of microorganism surveillance in infected patients was 3.91%. Conclusions There are many gastrointestinal infections in primary hospitals. Urine tract and respiratory tract infections are easy to occur in elderly patients. Invasive operation is easy to cause infection of corresponding parts. Clinicians choose antibiotics based on experience.