摘要
目的了解杭州社区卫生服务中心医院感染现状,为制定社区医院感染防控措施提供科学依据。方法回顾性调查2007年1-12月,杭州社区卫生服务中心接受诊治的5738例次医院感染患者基本现状等情况。结果医院感染中最常见的是下呼吸道、上呼吸道、泌尿道,分别为2131、1045、934例次;易感因素以抗菌药物不合理使用最常见,占39.0%,其次为侵入性操作31.0%,高龄16.0%,糖皮质激素使用10.0%;医院感染病原菌检出以G-杆菌为主(59.5%),其次G+球菌(20.9%)和真菌(19.6%);耐甲氧西林金黄色葡萄球菌(MRSA)比例偏高,达74.4%。结论社区卫生服务中心老年痴呆患者医院感染率较高,需重点加强防范。
OBJECTIVE To investigate the status of nosocomial infection in community health services and offer a scientific basis for nosocomial infection control. METHODS Totally 5738 outpatients were investigated retrospectively for nosocomial infection in community. RESULTS The most frequently nosocomial infection sites were lower respiratory tract, and next upper respiratory tract and urinary tract （2131, 1045 and 934, respectively）. The major reasons of causing the nosocomial infection were irrational usage of antibacterial drugs （ 39.0 % ）, invasive procedures（31.0 %） and using glucocorticoids（ 10.0 % ）. Most of the pathogenic bacteria of the nosocomial infection were Gram-negative and the next were Gram-positive and fungi. 74.4% of the pathogens were resistant to most of antibioties. CONCLUSIONS Alzeimer＇s disease patients in the community health centers are popular and susceptible to infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第12期1501-1504,共4页
Chinese Journal of Nosocomiology
关键词
社区卫生服务
医院感染
调查
Community health service
Nosocomial infection
Investigation
