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目的掌握赤峰地区医院感染管理情况,了解住院患者医院感染危险因素,为有效预防和控制医院感染提供科学依据。方法采用横断面调查方法,以床旁调查、查阅病例和访谈管床医生相结合的方式,对赤峰市16所医院住院患者进行调查。结果共调查患者4 896例,发生医院感染110例,医院感染发病率为2.25%。医院感染现患率较高的科室分别为综合ICU 18.75%、血液病科10.00%、胸外科8.60%。年龄、泌尿道插管、动静脉插管、使用呼吸机、气管切开是医院感染的独立危险因素。结论针对性防控医院感染危险因素,是降低医院感染发生,提高医疗质量和保障患者医疗安全的必要措施。
Objective To master the management of hospital infection in Chifeng area and to understand the risk factors of nosocomial infection in hospitalized patients and to provide a scientific basis for effective prevention and control of nosocomial infection. Methods A cross-sectional survey was conducted to investigate the inpatients in 16 hospitals in Chifeng City by means of bedside investigation, case review and interview with tube-laying doctors. Results A total of 4 896 patients were investigated, 110 cases of nosocomial infection and 2.25% of nosocomial infections. Nosocomial infection prevalence rate of the departments were integrated ICU 18.75%, hematology 10.00%, thoracic surgery 8.60%. Age, urinary catheterization, arteriovenous intubation, use of ventilator, and tracheostomy are independent risk factors for nosocomial infections. Conclusion The targeted prevention and control of the risk factors of nosocomial infection are necessary measures to reduce the occurrence of nosocomial infections, improve the quality of medical care and ensure the medical safety of patients.