摘要
目的了解医院感染的漏报情况,探讨预防控制医院感染的对策。方法对2000-2009年某医院出院患者病历资料进行分析。结果 2000-2009年出院患者10768例,实际调查10315例,调查率95.79%,发生医院感染712例,漏报119例,漏报率16.71%。漏报率由2000年的20.62%下降到2009年的13.89%,但各年度间漏报率的差异无统计学意义(P>0.05)。在119例漏报者中漏报原因为:医生对感染知识概念不清、感染后记录不清的71例,占59.66%;缺乏病原学诊断依据的33例,占27.73%;管理机制不健全的10例,占8.40%;其他5例,占4.20%。结论控制医院感染应提高医务人员诊疗技术水平,加强医疗质量基础监督管理,及时总结经验教训,降低医院感染率。
Objective To understand the under-reporting of nosocomial infection in hospital and explore the measures to control nosocomial infection.Methods Descriptive Analysis was conducted on data of medical records in a hospital from 2000 to 2009.Results A total of 10 768 patients were discharged from 2000 to 2009,of which 10 315 were surveyed,amounting to 95.79%.Totally 712 nosocomial infections occurred,119 were under reported,the under reporting rate was 16.71%.The under reporting rate declined from 20.62% in 2000 to 13.89% in 2009,the difference on the under reporting rate in each year had no statistical significant（P0.5）.Among the 119 cases under reported,71（59.66%）,were due to the doctors＇ fault of unrecognizing of nosocomial infections or unclear recording,33（27.73%）were due to the lack of etiology evidence;10（8.40%）were due to management factors;and 5（4.20%）were due to other factors.Conclusion In order to reduce the nosocomial infection,it is necessary to raise the diagnosis and treatment level in the hospital,strengthen the supervision and management of medical quality and learn lessons from previous experiences timely.
出处
《寄生虫病与感染性疾病》
CAS
2010年第2期103-105,共3页
Parasitoses and Infectious Diseases
关键词
医院感染
漏报
原因
分析
Nocomial infection
Under-reporting
Cause
Analysis
