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目的了解医院感染的发生规律,提出有效的预防治疗措施。方法通过回顾性调查方法,对某医院2009-2011年57 795例住院患者进行医院感染调查与分析。结果该医院在2009-2011年期间共发生医院感染1 143例、1 189例次,感染率为1.98%、例次感染率2.06%。感染部位是呼吸道感染居首,其次是胃肠道和手术切囗及泌尿道感染。感染病人标本检出的病原菌以革兰阴性杆菌为主,占47.19%,革兰阳性球菌和真菌分别占34.56%、18.25%。结论该医院住院病人医院感染率较低,但呼吸道感染是控制重点,主要措施是严格执行消毒隔离制度和无菌技术操作规范,合理使用抗菌药物。
Objective To understand the occurrence of nosocomial infection and propose effective preventive and therapeutic measures. Methods A retrospective survey was conducted to investigate the hospital infection in 57 795 inpatients from 2009 to 2011 in a hospital. Results A total of 1,143 hospital-acquired nosocomial infections occurred in 1 189 cases during the period of 2009-2011. The infection rate was 1.98% and the infection rate was 2.06%. Infections were the most common respiratory infections, followed by gastrointestinal and surgical incisions and urinary tract infections. Gram-negative bacilli were the main pathogens detected in the infected patients, accounting for 47.19%, Gram-positive cocci and fungi accounting for 34.56% and 18.25% respectively. Conclusions The hospital infection rate of inpatients in this hospital is low, but respiratory infection is the key point of control. The main measures are to strictly enforce the disinfection and isolation system and the operation rules of aseptic technique, and to use antibiotics reasonably.