摘要
目的分析两年耳鼻喉科医院感染发生情况,为有效控制医院感染提供依据。方法采用回顾性调查方法,对耳鼻喉科2010年1月-2011年12月3912例住院患者医院感染临床资料进行统计分析。结果 3912例患者中106例发生医院感染,感染率为2.7%;医院感染部位以下呼吸道为主,占34.0%,其次为上呼吸道和泌尿道,分别占25.5%和14.2%;106例患者检出病原菌92株,检出率86.8%,病原菌以革兰阴性菌为主,43株占46.7%,其次为革兰阳性菌和真菌,分别占21.8%和25.0%;排名前5位病原菌依次为白色假丝酵母菌、肺炎克雷伯菌、铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌,分别占19.6%、15.2%、12.0%、10.9%、8.7%。结论耳鼻喉科医院感染控制应加强科室工作人员的医院感染知识培训,严格执行无菌操作,医院感染管理制度,合理应用抗菌药物,降低医院感染的发生率。
OBJECTIVE To analyze the incidence of nosocomial infections in the otorhinolaryngology department during the past two years so as to provide guidance for the control of nosocomial infections. METHODS By means of retrospective survey, the clinical data of 3912 patients with nosocomial infections who were hospitalized the otorhinolaryngology department from Jan 2010 to Dec 2011 were statistically analyzed. RESULTS Of totally 3912 cases investigated, the nosocomial infections occurred in 106 cases with the infection rate of 2.7%, among which 34.0% had the lower respiratory tract infections, 25. 5% the upper respiratory tract infections, 14. 2% the urinary tract infections. Totally 92 strains of pathogens were isolated from the 106 patients with the detection rate of 86.8 %, among which 46.7 ~ (43 strains) were the gram-negative bacteria, 21.8% the gram-positive bacteria, 25.0% the fungil the Candida albicans , Klebsiella pneumoniae , Pseudomonas aeruginosa , Staphylococcus aureus, and Escherlchia coli ranked the top 5 species of pathogens isolated, accounting for 19. 6%, 15.2%, 12.0%, 10.9%, and 8.7%, respectively. CONCLUSION It is necessary for the otorhinolaryngology department to strengthen the training of knowledge of infection control, strictly implement aseptic operation, and reasonably use antibiotics so as to reduce the incidence of nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第21期5213-5214,共2页
Chinese Journal of Nosocomiology
关键词
耳鼻喉科
医院感染
病原菌
Otorhinolaryngology department
Nosocomial infection
Pathogen