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目的了解某医院住院患者医院感染分布及危险因素,实施重点部位干预对策。方法采用回顾性分析方法,对某医院住院患者医院感染分布及其危险因素进行调查与分析。结果 2012-2014年共调查该医院住院患者115 375例,查出医院感染患者1 340例,平均总感染率为1.16%。各年度感染率依次为1.26%、1.13%和1.11%。从感染患者送检的604例病原学标本中,检出病原菌阳性标本528例,阳性标本以痰液、尿液和分泌物分居前3位,构成比分别为52.32%、19.37%和12.42%。结论该院医院感染患病率与全国相比略低。3年间医院感染患病率呈下降趋势,提示落实消毒隔离措施、合理使用抗菌药物为感染控制关键措施。
Objective To understand the distribution and risk factors of nosocomial infections in a hospital and to implement intervention measures in key areas. Methods The retrospective analysis method was used to investigate and analyze the distribution and risk factors of nosocomial infection in a hospital inpatient. Results A total of 115 375 hospitalized patients were surveyed in the hospital from 2012 to 2014, and 1 340 cases of nosocomial infections were detected. The average total infection rate was 1.16%. The annual infection rates were 1.26%, 1.13% and 1.11% respectively. Among the 604 etiological specimens sent from infected patients, 528 positive samples were detected. The positive samples were sputum, urine and secretions separated by the top three, accounting for 52.32%, 19.37% and 12.42% respectively. Conclusion The prevalence of nosocomial infection in this hospital is slightly lower than that in China. The prevalence of nosocomial infections in three years showed a downward trend, suggesting the implementation of disinfection and isolation measures, the rational use of antimicrobial drugs for infection control key measures.