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目的分析多部位医院感染特征与相关危险因素,制定控制措施。方法回顾性分析某院2006-01/2007-12住院的41例多部位医院感染患者病例。结果两年内共发生医院感染942例,其中多部位感染41例,占4.35%;41例共发生103例次多部位医院感染,其中2个部位32例、3个部位7例、4个部位1例、5个部位1例,每例平均2.51例次;以下呼吸道感染为主,占53.40%,其次为泌尿道感染,占24.27%;医院感染病原菌以G-菌居首,占57.34%,其次是G+菌和真菌分别占23.08%、19.58%;相关危险因素为年龄、住院日长、大量使用广谱抗生素、ICU、侵入性操作和慢性基础疾病等;结论采取综合性控制措施,控制医院内多重耐药菌的产生与传播,有效降低其病死率。
Objective To analyze the multi-site nosocomial infection characteristics and related risk factors and to develop control measures. Methods A retrospective analysis of a hospital from January 2006 to December 2007 hospitalized 41 cases of multi-site hospital infection cases. Results A total of 942 cases of nosocomial infections occurred in two years, of which 41 cases were multi-site infections (4.35%). A total of 101 cases were found in 41 cases with multiple nosocomial infections in 41 cases, including 32 cases in 2 cases, 7 cases in 3 cases, 4 cases in 1 part Cases, 5 cases in 1 case, an average of 2.51 cases per case; the following respiratory infections, accounting for 53.40%, followed by urinary tract infections, accounting for 24.27%; hospital infection with G- bacteria, accounting for 57.34%, followed by G + bacteria and fungi accounted for 23.08% and 19.58% respectively. The related risk factors were age, length of hospital stay, extensive use of broad-spectrum antibiotics, ICU, invasive procedures and chronic basic diseases. Conclusion The comprehensive control measures were taken to control the hospital The generation and spread of multiple drug-resistant bacteria effectively reduce their mortality.