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为了了解某综合医院医院感染的基本情况,于1990年4月~1992年1月,每季度一次共作5次医院感染现患率调查,调查该院23个病房共3516例住院病人,发现医院感染病例270例,现患率7、68%。医院感染各科分布,以烧伤科、泌尿外科、脑外科、骨科等外科系统感染率最高,是预防医院感染的重点科室。引起医院感染的细菌以金黄色葡萄球菌为主,绿脓杆菌次之;感染部位以下呼吸道、手术伤口、烧伤创面以及泌尿道为主;有无危险因素与医院感染有显著关联。5次调查的现患率有下降趋势,这可能与领导重视、对医护人员的宣教,加强对医院感染的监控有关。
In order to understand the general situation of nosocomial infections in a general hospital, a total of 5 prevalence surveys of nosocomial infections were conducted on a quarterly basis from April 1990 to January 1992, and 3516 inpatients in 23 wards of the hospital were investigated for nosocomial infections 270 cases, the prevalence of 7,68%. Hospital infection distribution of various departments to burn, urology, brain surgery, orthopedics and other surgical systems the highest infection rate is to prevent nosocomial infections in key departments. Nosocomial infections caused by Staphylococcus aureus bacteria, followed by Pseudomonas aeruginosa; respiratory tract infection sites, surgical wounds, burns wounds and urinary tract; with or without risk factors and hospital infection were significantly associated. The prevalence of the five surveys showed a declining trend, which may be related to the leadership’s emphasis on the education of medical staff and strengthening the monitoring of nosocomial infections.