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目的分析山东省医院感染监控网医院感染发病率和病原菌分布。方法对全省监控网络医院2001年8月~2004年7月上报的监测资料进行汇总分析。结果共监测住院病人1776030名,发生医院感染43355人,医院感染发病率为2·44%;感染部位以呼吸道感染最多见,其次是胃肠道、泌尿道和手术切口等;共分离病原体6251株,以大肠埃希菌、铜绿假单胞菌、金黄色葡萄球菌、肺炎克雷伯菌、白色念球菌和表皮葡萄球菌等为主。结论加强空气和医疗器械的消毒灭菌工作,严格遵守无菌操作规程;加强抗菌药物的合理应用;宜采用现患率调查与重点部门目标性监测相结合的方式进行医院感染监测。
Objective To analyze the incidence of nosocomial infection and the distribution of pathogens in Shandong Provincial Hospital Infection Monitoring Network. Methods The surveillance data reported by the monitoring network hospitals in the province from August 2001 to July 2004 were collected and analyzed. Results A total of 1,760,030 inpatients were hospitalized, 43,355 were hospitalized, and the incidence of nosocomial infections was 2.44%. The most common respiratory infection was at the site of infection, followed by gastrointestinal tract, urinary tract and surgical incision. A total of 6251 strains of pathogens , Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Klebsiella pneumoniae, Candida albicans and Staphylococcus epidermidis and other mainly. Conclusions Strengthen the disinfection and sterilization work of air and medical equipment, strictly observe the aseptic operating rules, strengthen the rational application of antimicrobial agents, and monitor the nosocomial infection by means of combining the current prevalence rate survey with the target department in key departments.