摘要
目的了解浦东新区监测点医院重点科室医院感染的发生情况,为医院感染防治提供基础资料。方法2013年1月-2014年12月对10家监测医院的出院病人进行医院感染主动监测,计算医院感染发生率,同时监测ICU相关感染率。结果二、三级医院医院感染的发生率为1.62%,一级医院为2.69例/千床日数;感染部位主要为下呼吸道、泌尿道、上呼吸道、血液感染和手术切口;老年科、血液科和神经外科是医院感染发生最多的科室;ICU医院感染的发生率为7.20例/千床日数,新生儿ICU为1.96例/千床日数,ICU和新生儿ICU发生医院感染的病例主要以呼吸机相关肺炎为主。结论针对发生医院感染的主要危险因素,加强各级医疗机构医院感染的预防和控制。
Objective To understand and analyze the occurrence of nosocomial infection in the key department of the monitoring hospitals in Pudong new area,and provide the basic information for the emergency treatment. Methods From January 2013 to December 2014,discharged patients from ten monitoring hospitals were monitored,according to different departments and infected sites monthly. The incidence of nosocomial infection was calculated,and the infection rate of ICU was monitored at the same time. Results The incidence of nosocomial infection in the secondary and tertiary monitoring hospitals of Pudong New Area was 1. 62%,and 2. 69 cases per thousand bed day in primary hospitals. Infection sites were mainly lower respiratory tract,urinary tract,upper respiratory tract,blood infection and surgical incision. Geriatrics,hematology and neurosurgery were the most common departments in nosocomial infection. The incidence of nosocomial infection in ICU was7. 20 cases per thousand bed day,and 1. 96 cases per thousand bed day in neonatal ICU,and mainly composed of ventilator associated pneumonia（ VAP）. Conclusions Prevention and control of nosocomial infection should be strengthened for the major risk factors.
作者
王远萍
王静
赵治英
朱渭萍
WANG Yuan-ping;WANG Jing;ZHAO Zhi-ying;ZHU Wei-ping(Shanghai Pudong New Area Center for Disease Control and Prevention,Shanghai 200136, China)
出处
《中国消毒学杂志》
CAS
2018年第4期266-268,272,共4页
Chinese Journal of Disinfection
基金
浦东新区卫生系统优秀青年医学人才培养计划(PW Rq2016-16)
关键词
医院感染
主动监测
感染率
nosocomial infection
active monitoring
infection rate
