摘要
目的调查医院感染的易感人群、易感部位和相关因素，有效预防与控制医院感染。方法利用综合性监测和目标性监测的方法，监测医院2008年16535例住院患者。结果2008年1～12月558例发生医院感染，608例次，感染例次率3．68％；易感人群是危重、机械通气、老年、肿瘤、血液病和侵入性操作增多的患者；易感部位是呼吸道，特别是下呼吸道感染和呼吸机相关性肺炎；病原菌趋向复杂，以铜绿假单胞菌、克雷伯菌属、金黄色葡萄球菌和鲍氏不动杆菌为主。结论重视过程监测，开展目标监测，呼吸道感染是感染控制的重点。
OBJECTIVE To explore the sensitive population and related factors of nosocomial infections. METHODS A total of 16535 inpatients of our hospital from Jan to Dec 2008 were investigated by integrate and target ways. RESULTS Among 558 patients （608 cases-tims hospital-acquired infection）, the total infection rate was 3.68%. The sensitive population was the critical patients, with mechanical ventilation, old age, cancer, blood diseases and with aggresive interventions. The sensitive site was respiratory tract, especially lower respiratory tract infection with Ventilator-associated pneumonia（VAP）. Moreover, pathogens tended to be complexed, mostly were Pseudomonas aeruginosa, Klebsiella, Staphylococcus aureus and Acinetobacter baumannii, and that mostly located in respiratory tract. CONCLUSIONS We must attach importance to hospital-acquired infection, course supervision and target supervision. Respiratory tract is the key site of nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第3期337-339,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
监测
控制
Nosocomial infections
Supervision
Control
