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目的了解医院医住院患者院感染现状及医院感染管理中的问题,探讨有效防控措施。方法采用横断面调查方法,对某医院住院患者医院感染现患率进行调查,分析医院感染管理中存在问题。结果 2013年和2014年在相同调查日,该医院住院患者医院感染现患率分别为4.88%和3.29%。医院感染科室分布,2013年居前3位的科室是重症监护病房(ICU)、感染性疾病科和呼吸科;2014年居前3位的科室是ICU、普外科和感染性疾病科。感染部位分布,连续2年均以呼吸道和尿路感染为主。感染病原菌以革兰阴性杆菌和真菌为主。结论该医院住院患者医院感染控制重点是ICU和感染疾病科,重点加强呼吸道和泌尿道插管中的无菌操作和管道留置护理。
Objective To understand the status of nosocomial infection in hospital patients and the management of nosocomial infections in order to explore effective prevention and control measures. Methods A cross-sectional survey method was used to investigate the prevalence of nosocomial infections in a hospital inpatient and analyze the existing problems in nosocomial infection management. Results The prevalence rates of nosocomial infections in hospital in 2013 and 2014 were 4.88% and 3.29% on the same survey day respectively. Among the top 3 departments in 2013, ICU, Infectious Diseases and Respiratory Department were the most common infection departments in the hospital. In 2014, the top 3 departments were ICU, General Surgery and Infectious Diseases. Infection site distribution, two consecutive years of respiratory and urinary tract infections. Infectious pathogens mainly gram-negative bacilli and fungi. Conclusion The hospital inpatient nosocomial infection control focuses on the ICU and Infectious Diseases, with a focus on sterility and catheter placement in respiratory and urinary tract intubation.