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[目的]了解医院感染现况,为有效预防和控制医院感染提供科学依据。[方法]对我院近5年74919例住院患者监测数据进行分析。[结果]2004年1月～2008年12月74919例住院患者发生医院感染855例,感染率1.14%;医院感染877例次,感染例次率1.17%。感染部位以下呼吸道感染最高,感染率45.7%。感染科室分布以综合性ICU感染率最高,为9.69%。病原学送检率为38.8%;医院感染病原菌以革兰阴性菌为主,主要病原菌为大肠埃希氏菌、金黄色葡萄球菌、鲍曼不动杆菌、肺炎克雷伯氏菌、铜绿假单胞菌和白色假丝酵母菌等。[结论]近5年我院住院患者,发生医院感染率较低,符合国家卫生部二甲医院标准要求。医院感染率最高的部位是下呼吸道,最高的科室是ICU;医院感染病原菌以革兰阴性菌为主,病原学送检率较低。
[Objective] To understand the status of nosocomial infection and provide a scientific basis for effective prevention and control of nosocomial infections. [Methods] The monitoring data of 74,919 inpatients in our hospital in the recent 5 years were analyzed. [Results] From January 2004 to December 2008, there were 859 hospitalized cases in 74,919 inpatients with the infection rate of 1.14%. There were 877 cases of nosocomial infection and the infection rate was 1.17%. The highest respiratory tract infection below the infection site, the infection rate of 45.7%. Infectious department distribution to the highest comprehensive ICU infection rate was 9.69%. The rate of etiological examination was 38.8%. The main pathogenic bacteria in hospital were Gram-negative bacteria. The main pathogens were Escherichia coli, Staphylococcus aureus, Acinetobacter baumannii, Klebsiella pneumoniae, Bacteria and Candida albicans and so on. [Conclusion] The incidence of nosocomial infection in our hospital in the recent 5 years is relatively low, which is in line with the requirements of the Grade A and Grade A hospitals of the Ministry of Health. The highest infection rate of the hospital is the lower respiratory tract, the highest department is the ICU; the main pathogens in the hospital are Gram-negative bacteria, and the etiology is lower.