2007—2009年福建省立医院医院感染现患率调查分析

目的了解福建省立医院医院感染的实际情况,从而有效预防与控制医院感染。方法按照卫生部全国医院感染监测网制定的全国医院感染现患率调查方案,于2007-2009年各年的10月某日对该院住院患者进行医院感染现患率调查。结果 2007-2009年医院感染现患率分别为5.67%、6.97%、4.57%(x~2=8.970,P=0.011),例次现患率分别为6.26%、7.45%、5.11%(x~2=7.846,P=0.020),均以2008年最高,差异有统计学意义。医院感染部位以呼吸道居首位,占65.69%,其次为泌尿道(11.11%)、手术部位(5.56%);医院感染高发科室为综合重症监护室(30.50%)、血液病科(24.66%)、神经外科(17.10%)、神经内科(11.31%);医院感染病原体以革兰阴性菌为主,占所有病原体的66.18%,其中鲍曼不动杆菌所占比例呈上升趋势,2007-2009年其构成比分别为18.31%、20.00%、21.43%。结论加强对医院感染重点部门、重点部位的监测与干预,提高医务人员感染控制意识与水平,对降低医院感染率具有重要意义。

Survey of the prevalence rate of nosocomial infection at Fujian Provincial Hospital from 2007 to 2009

Objective To realize the condition of nosocomial infection （NI） in Fujian Provincial Hospital, so as to prevent and control NI effectively. Methods According to the survey project of prevalence rate of nationwide NI established by ministry of health, the prevalence rate of NI at a given clay between October, 2007 and October, 2009 were conducted. Results The prevalence rate of NI was 5.67%, 6. 97% and 4. 57% （X^2 = 8. 970, P = 0. 011 ）, respectively, NI case rate was 6. 26%,7.45% and 5. 11% （X^2 = 7. 846, P = 0. 020）, respectively, the highest was in 2008,there was significant difference among 3 years. Respiratory tract infection was the most common infection, which accounting for 65.69% , followed by urinary tract （11. 11%） and surgical site infetion（5.56%） ; The departments with high rate of NI were general intensive care unit （30. 50%）, hematology （24. 66%）, neurosurgery （17. 10%） and neurology （1 1. 31%）; The main pathogen in NI were gram negative bacilli, which accounting for 66. 18% of all pathogens, Acinetobacter baumannii infection showed a rising trend, the constitutional ratio was 18. 31%, 20. 00% and 21.43% respectively in 2007 - 2009. Conclusion The monitor and intervention of key departments and key sites of NI should be strengthened, the enhancement of consciousness of NI among medical staff plays an important role in reducing the occurrence of NI.