【摘要】 目的:了解住院患者医院感染状况,为开展前瞻性医院感染监测提供数据。方法:采用描述性分析的方法对某院连续5年住院患者医院感染病例的监测结果进行回顾性分析。结果:监测病例59 275例,发生医院感染1746例,医院感染例次发病率2.95%,医院感染高发科室是老年病科、神经内科和血液内科;医院感染部位分布以呼吸道、胃肠道和泌尿道常见;医院感染病原微生物构成比中真菌占45.9%、G-菌占38.0%、G+菌占16.1%,病原菌主要是铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌、鲍曼不动杆菌和肺炎克雷伯菌。结论:被监测医院医院感染例次发病率为2.95%,医院感染部位分布以呼吸道最常见,病原菌以铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌多见。更多还原

【Abstract】 Objective:To ascertain the status of inpatients’ nosocomial infection,and to provide basic data for carrying out the prospective work of monitoring nosocomial infection.Method:To adopt the descriptive method and to make a retrospective analysis of the monitoring results of the cases of inpatients’ nosocomial infection in consecutive five years in one hospital.Results:Altogether 59275 cases were monitored and 1746 cases of nosocomial infection were found.The rate of nosocomial infection was 2.95%.The departments which had a high rate of nosocomial infection were the Department of Geriatrics,Department of Neurology and Department of Hematology.The body parts of nosocomial infection were frequently found on the respiratory tract,the gastrointestinal tract and the urinary tract.Of the pathogenic microorganisms which caused nosocomial infection,fungi account for 45.9%,G-bacteria 38.0%,and G+ bacteria 16.1%.The major pathogenic microorganisms are Pseudomonas alcaligenes,Staphylococcus aureus,Escherichia coli,Acinetobacter baumannii and Klebsiella pneumoniae. Conclusions:The rate of nosocomial infection in a monitored hospital was 2.95%.The infected body parts were frequently found on the respiratory tract.And the major pathogenic microorganisms include Pseudomonas alcaligenes,Staphylococcus aureus and Escherichia coli.更多还原