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目的监测某三级甲等医院神经内科医院感染情况以及病房空气环境微生物学特征,为预防医院感染的发生提供依据。方法通过目标性监测分方法,对某三级医院神经内科医院感染进行前瞻性监测,同时选择两间病房进行环境空气监测。结果 2014年8月—2015年7月该神经内科医院感染率为6.90%,医院感染例次率为7.35%,主要感染部位以下呼吸道为主。常见致病菌为肺炎克雷伯杆菌。致病菌对大多数抗菌药物产生一定的耐药性,真菌对抗真菌药物比较敏感。病房空气中微生物主要以革兰阳性球菌为主。结论神经内科为医院感染高发科室,下一年度需主要防治以下呼吸道感染为主的医院感染,同时严格按照规范应用抗菌药物。
Objective To monitor the nosocomial infection and the microbiological characteristics of air environment in a tertiary hospital, and to provide a basis for prevention of nosocomial infection. Methods Through the method of targeted monitoring, we prospectively monitored the hospital infection of neurology department in a tertiary hospital and chose two wards to monitor the ambient air. Results From August 2014 to July 2015, the neurology hospital infection rate was 6.90%, and the nosocomial infection rate was 7.35%. The main respiratory tract was below the main infection site. Common pathogen Klebsiella pneumoniae. Pathogens have some resistance to most antibacterials and fungi are more sensitive to antifungal agents. Wisteria airborne microorganisms mainly gram-positive cocci. Conclusion Neurology is a high-risk department of hospital infection. In the next year, it is necessary to mainly prevent and treat the following nosocomial infections with respiratory tract infections, and meanwhile apply antimicrobial drugs in strict accordance with the regulations.