摘要
目的了解妇女儿童医院住院患者医院感染发生情况,为妇女儿童医院医院感染监测的预防控制提供依据。方法对2007年1月-2011年12月的180 716份出院病历的医院感染监测资料进行调查。结果发生医院感染4853例,感染率2.69%,其中≤3岁患儿发生感染2858例,占58.89%;医院感染部位以呼吸道最高,占64.28%,其次为胃肠道、皮肤黏膜、泌尿道、血液、手术切口分别占15.91%、5.94%、5.53%、2.25%、1.97%;科室分布,呼吸道与胃肠道感染以儿科为主,分别占52.14%和90.19%;皮肤黏膜与切口感染以外科为主,分别占80.20%和43.30%;泌尿道感染以妇科和产科为主,分别占57.51%和20.15%。结论呼吸道是妇女儿童医院感染发生的重点部位,3岁患儿是医院感染高发人群,应加强监测、预防,并重视对重点科室和重点疾病医院感染的预防。
OBJECTIVE To study the prevalence of nosocomial infections （NI） in a women＇s and children＇s hospital so as to offer data basis for the surveillance of NI. METHODS The data of 180 716 cases of patients who were discharged from the hospital from Jan 2007 to Dec 2011 were investigated. RESULTS There were 4853 NI patients in the womenrs and children＇s hospital, and the infection rate was 2.69%. There were 2858 （58.89%） cases of patients aged less than 3 years old. The most frequent site of NI was respiratory tract （ 64.28%）, followed by the gastrointestinal tract （15.91%）, skin-soft tissue （5.94 % ）, urinary tract （5.53 % ）, blood （ 2.25 % ）, and surgical incision （1.97%）. As for distribution of the departments, the patients with respiratory tract infections in the pediatrics department accounted for 52.14%, the patients with the gastrointestinal tract infections in the pediatrics department 90. 19% the patients with the skin-mucosa infections in the surgery department accounted for 80.20%, the patients with the incision infections in the surgery department 43.30% ; the patients with urinary tract＇infections in the gynecology department accounted for 57.51%, the patients with urinary tract infections in the obstetrics department 20.15 %. CONCLUSION The respiratory tract is the most prevalent infection site of the children, the children aged less than 3 years old are at high risk of NI. It is necessary to strengthen the surveil-lance and prevention and to attach great importance to the prevention of the NI in key departments.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第11期2651-2653,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
发生率
流行
Nosocomial infection
Incidence rate
Epidemic
