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目的了解某教学医院住院患者医院感染相关情况,为制定医院感染有效预防措施提供科学依据。方法通过回顾性调查方法,对某教学医院住院患者医院感染现状进行了调查与分析。结果该医院1年内共收治住院患者33 560例,发生医院感染1 154人、1 281例次,医院感染率3.44%、感染例次率3.81%。医院感染患者主要分布在内科系统,感染部位以下呼吸道为主,构成比为55.6%。感染患者病原学标本送检率为81.5%,检出致病菌以革兰阴性菌为主,构成比79.9%。结论该教学医院住院患者医院感染主要危险因素为气管切开等侵入性操作,应坚持感染病例实时监控,及时采取有效干预措施。
Objective To understand the prevalence of nosocomial infections in a teaching hospital and to provide a scientific basis for the effective prevention of nosocomial infections. Methods By means of retrospective investigation, the current status of nosocomial infection in hospital in a teaching hospital was investigated and analyzed. Results A total of 33 560 hospitalized patients were hospitalized within 1 year. Among them, 1 154 were hospital-acquired infections, 1 281 were hospitalized, and the hospital infection rate was 3.44%. The infection rate was 3.81%. Patients with nosocomial infections are mainly located in the internal medicine system, with the respiratory tract mainly located at the site of infection, with a ratio of 55.6%. Infected patients etiology specimens sent rate was 81.5%, gram-negative bacteria were detected, accounting for 79.9%. Conclusions The main risk factors of nosocomial infection in inpatients in this teaching hospital are invasive procedures such as tracheotomy. The real-time monitoring of infectious cases should be persisted and timely and effective interventions should be taken.