【作者】 李元晖； 陈解语； 覃玉秀； 廖秋梅； 茹健；

【Author】 LI yuan-hui,CHEN jie-yu,QIN yu-xiu,LIAO qiu-mei,RU jian (The People’s Hospital of Gangxi Chuang Autonomous Region,Guangxi,Nanning 530021,CHINA)

【机构】 广西壮族自治区人民医院；

【摘要】 <正>目的分析我院2001-2010年医院感染的发病率、感染部位分布、病原体的长期趋势,为深入开展医院感染监测工作提供依据。方法采用前瞻性与目标性监测相结合的调查方法监测我院2001-2010年的所有住院患者,对医院感染确认病例进行统计。更多还原

【Abstract】 OBJECTIVE We studied the incidence,constituent ratio and microbiology of nosocomial infections(NI) in a provincial hospital in GuangXi during 2001-2010. METHODS Information on NI was collected prospectively by active surveillance. RESULTS The overall incidence of NI was 3.39%,with a trend of increase during the study period.A significant increase in NI incidence was recorded during 2007-2008.NI was most commonly found in the lower respiratory tract,followed by urinary tract、digestive tract、upper respiratory tract、skin and parenchyma infections.Though a significant decrease in NI incidence of respiratory system was recorded during the study period,the constituent ratio of lower respiratory tract infection saw an increase from 27.9%to 43.18%.A significant increase was recorded in NI incidence of urinary system、hematological system、abdomen and digestive system、and surgical sites.The NI incidence was higher in departments of neurosurgery、gerontology、hematology and oncology than other hospital departments except the Intensive Care Unit.Acinetobacter、Candida albicans and other fungi、Pseudomonad、Escherichia coli、Klebsiella and Staphylococcus aureus were the most frequently isolated infectious organisms。CONCLUSIONS We have identified the most common sites,departments and organisms involved in NI,which will facilitate effective monitoring and focused intervention to reduce NI in a large provincial hospital.更多还原