基层医院261例医院感染病例分析和防控对策

目的：了解基层医院感染的危险因素,提出改进措施,降低医院感染率。方法：采取回顾性的调查方法,对2007～2009年医院10 061例出院患者中,261例医院感染病例临床资料进行分析。结果：医院感染率为2.59%,易患人群为老年人,感染部位以呼吸道为主,占73.18%,感染科室ICU、内科较高,病原菌共检出64株,其中G^-菌占54.69%,G^＋占15.63%,真菌占29.69%。结论：加强医院感染管理,提高医务人员防控意识,做好医院感染各项监测,有效控制病原菌,规范合理使用抗菌药物,是降低医院感染的有效措施。

Analisis of 261 Cases Nosocomial Infection in a Primary Hospital and Its Preventive Countermeasures

Objective：To investigate the risks of nosocomial infection（NI） in the primary hospital and put forward improvement measures to reduce NI ratio.Methods： The clinical data of 261 cases of NI in 10 061 inpatients in our hospital from 2007 to 2009 was investigated retrospectively.Results：The infection ratio was 2.59%,the elderly were suspectibal,.The main infection sit was upper respiratory tract（73.18%）,and the department of ICU and Medicine were higher than the others.A total of 64 pathogens were identified,Gram-negetive bicilli（54.69%）,Gram-positive cocci（15.63%）,and fungi（29.69%）.Conclusions：Strenthening the NI management,enhance the awareness of prevention and control of medical staff,improve the detection of NI,supervising towards bacteria,and using antibancterial drusgs rationally are effective methods to reduce the ratio of NI.