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目的研究分析基层综合性医院多部位、多重医院感染的临床特点,为预防与控制多重医院感染提供科学的临床依据。方法采用回顾性的调查方法,对医院2005-2007年的住院患者多重医院感染进行统计学分析。结果医院感染1072例,感染率为4.26%,多重医院感染81例,占医院感染的7.56%;发生多部位感染193例次,占医院感染的18.00%,多重医院感染培养213株病原菌;危险因素基础疾病75例,抗菌药物应用74例,住院时间>30 d 66例,极危重症(ICU)60例;死亡率高达16.05%。结论医院感染控制较为稳定,但多重医院感染率逐年上升,临床工作将面临新的挑战和防范。
Objective To study and analyze the clinical features of multi-site and multiple-nosocomial infections in primary general hospitals and provide a scientific basis for prevention and control of multiple nosocomial infections. Methods The retrospective survey method was used to analyze the hospitalized multiple hospital infection in hospitalized patients from 2005 to 2007. Results The hospital infection rate was 1072 cases, the infection rate was 4.26%, 81 cases were multiple hospital infection, accounting for 7.56% of hospital infection; 193 cases occurred multi-site infection, accounting for 18.00% of nosocomial infections; 213 hospital pathogens were infected by multiple nosocomial infection; There were 75 cases of basic diseases, 74 cases of antibacterials, 66 cases of hospitalization> 30 days and 60 cases of very critical illness (ICU). The mortality rate was as high as 16.05%. Conclusion The control of hospital infection is stable, but the infection rate in multiple hospitals is increasing year by year, and the clinical work will face new challenges and precautions.