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目的分析海南省某院医院感染状况及影响因素,为有效预防控制医院感染提供依据。方法回顾性调查海南省某医院2015年1月-2016年11月出院患者医院感染情况,采用卡方检验进行单因素分析,应用二分类logistic回归方法进行多因素分析。结果 174 271例出院患者中发生医院感染的有3524人,医院感染发生率为2.02%。性别(P=0.004)、年龄(P<0.001)﹑住院天数(P<0.001)﹑静脉置管(P<0.001)、呼吸机(P<0.001)﹑气管切开(P<0.001)是医院感染发生率的影响因素。结论加强对男性患者﹑20岁以下及60岁以上患者防护工作,合理控制住院天数,严格遵循无菌操作规范,强化医院消毒管理有利于降低医院感染发生率。
Objective To analyze the status and influencing factors of hospital infection in a hospital in Hainan Province and provide evidence for effective prevention and control of hospital infection. Methods A retrospective survey of hospital infection in hospital from January 2015 to November 2016 in Hainan Province was performed. Univariate analysis using chi-square test and multivariate logistic regression analysis were performed. Results Of the 174 271 hospitalized patients, 3524 were hospital-acquired infections and the nosocomial infection rate was 2.02%. Ventilator (P <0.001), tracheostomy (P <0.001) were the most common cause of nosocomial infection (P = 0.004), age Factors affecting the incidence. Conclusion To strengthen the protection of male patients, patients under 20 and above 60 years of age, and reasonable control of hospital days, strictly follow the aseptic practices, strengthen hospital disinfection management is conducive to reduce the incidence of nosocomial infections.