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目的监测医院感染的发生和漏报情况,提高医务人员自报医院感染的意识,制定相应的预防控制措施,从而降低医院感染率及漏报率。方法利用医院信息网络对医院2007年11月-2008年12月13346例住院患者,搜索体温≥37.5℃的6563例发热患者进行前瞻性、回顾性监测相结合的方法进行分析。结果 400例发生医院感染,医院感染率6.09%,其中漏报率为26.25%;外科漏报率居首位29.52%;漏报肺部感染构成比42.85%占首位;2007年11月与2008年12月医院感染漏报率差异有统计学意义(χ2=3.98,P<0.05),不同月份医院感染漏报差异有统计学意义(χ2=22.45,P<0.05);不同月份医院感染督报、自报差异有统计学意义(χ2=33.45,P<0.01),自报明显高于督报。结论利用医院信息网络结合发热症状监测系统,前瞻性监测发热病例及时督报医院感染,大大地降低了医院感染漏报率,同时提高了医务人员自报医院感染的意识。
Objective To monitor the occurrence and omission of nosocomial infections and improve the awareness of nosocomial infections by medical staffs and formulate appropriate preventive and control measures to reduce the nosocomial infection rate and omission rate. Methods A total of 13,346 hospitalized patients from November 2007 to December 2008 in our hospital were retrospectively retrospectively retrospectively analyzed by using hospital information network. Results 400 cases of nosocomial infection occurred. The nosocomial infection rate was 6.09%, of which the false negative rate was 26.25%, the false negative rate was 29.52%, the negative proportion was 42.85% There was a significant difference in the rate of nosocomial infection in December (χ2 = 3.98, P <0.05). There was a significant difference in nosocomial infection in different months (χ2 = 22.45, P <0.05) Self-reported differences were statistically significant (χ2 = 33.45, P <0.01), self-reported significantly higher than the supervisory report. Conclusions The hospital information network combined with fever symptom monitoring system to monitor patients with fever in a timely manner by monitoring fever cases prospectively has greatly reduced the rate of omission of nosocomial infection and raised the awareness of medical staff to self-report nosocomial infections.