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目的了解城区基层医院住院病人医院感染现状,为进一步完善医院感染防控措施提供依据。方法通过回顾性调查方法,对佛山市某二甲综合医院住院患者医院感染状况进行了调查与分析。结果 2013-2014年该医院共出院病人36 497例,查出医院感染患者650例、717例次,医院感染发生率为1.78%、例次感染率为1.95%。感染部位以呼吸道为主,构成比为57.04%,其次是泌尿道感染。医院感染发生率最高的科室是重症监护病房(ICU),其次是颅脑外科和儿科。病原学标本送检率为26.63%,检出病原菌中革兰阴性菌构成比为78.89%。结论该二甲医院患者医院感染率较低,重点科室是ICU,重点人群是危重症病人,应加强重点人群、重点科室的防控措施。
Objective To understand the current status of nosocomial infection in hospitalized patients in urban primary hospitals and provide evidence for further prevention and control of nosocomial infections. Methods The retrospective investigation method was used to investigate and analyze the prevalence of nosocomial infection in hospital of a sophomore in Foshan City. Results A total of 36 497 hospitalized patients were hospitalized in 2013-2014. Among them, 650 cases were found with hospital infection and 717 cases were hospitalized. The incidence of nosocomial infection was 1.78% and the rate of nosocomial infection was 1.95%. Infected parts of the respiratory tract, the ratio was 57.04%, followed by urinary tract infection. The highest incidence of nosocomial infections was in intensive care units (ICU), followed by cranial surgery and pediatrics. The rate of etiological specimens was 26.63%, and the gram-negative bacteria in pathogenic bacteria was 78.89%. Conclusion The prevalence of nosocomial infection in these two hospitals is low. The ICU is the key department and the critical population is critically ill. Prevention and control measures should be strengthened in key populations and key departments.