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[目的]探讨济南市某医院住院患者医院感染的发生、分布及相关因素。[方法]对济南市某医院2007年1~12月的所有住院病历进行回顾性调查,由医院感染管理科的专职感染监控人员严格按照卫生部制定的《医院感染诊断标准》(试行)诊断并对病例进行分析。[结果]济南市某医院医院感染的发病率为3.49%。医院感染的常见部位依次为下呼吸道(占39.38%)、术后伤口(占13.52%)、泌尿道(占15.83%)和胃肠道(占1.54%)。医院感染的主要致病菌依次为铜绿假单胞菌(占19.20%)、不动杆菌(占13.46%)、奇异变形杆菌(占11.54%)、沙雷氏菌(占9.62%)等。[结论]济南市某医院住院患者医院感染的发生、分布及相关因素基本与国内其他医院相同。
[Objective] To investigate the occurrence, distribution and related factors of nosocomial infections in a hospital in Jinan. [Methods] A retrospective survey was conducted on all inpatient medical records of a hospital in Jinan from January to December 2007. Surveillance of full-time infection by hospital infection management department was strictly in accordance with the “Diagnostic criteria of nosocomial infection” (Trial) formulated by the Ministry of Health and Analysis of the case. [Results] The incidence of nosocomial infection in a hospital in Jinan was 3.49%. The common sites of nosocomial infection were lower respiratory tract (39.38%), postoperative wound (13.52%), urinary tract (15.83%) and gastrointestinal tract (1.54%). The main pathogens of nosocomial infection were Pseudomonas aeruginosa (19.20%), Acinetobacter (13.46%), Proteus mirabilis (11.54%) and Serratia bacteria (9.62%). [Conclusions] The occurrence, distribution and related factors of inpatients with nosocomial infection in a hospital in Jinan are basically the same as those in other hospitals in China.