Abstract
王雪涛,周浩,王旭涛,褚德发,周清德,邓亚中.北京一所老年病医院住院病人医院感染情况分析[J].Chinese journal of Epidemiology,2001,22(3):212-214
北京一所老年病医院住院病人医院感染情况分析
A study on nosocomial infection among inpatients in Beijing Hospital for elderly
Received:January 15, 2001  
DOI:
KeyWord: 住院病人  医院感染
English Key Word: Inpatients  Nosocomial infection
FundProject:
Author NameAffiliation
WANG Xuetao Department of Medical Service, Beijing Hospital, Beijing 100730, China 
ZHOU Hao Department of Medical Service, Beijing Hospital, Beijing 100730, China 
WANG Xutao Department of Medical Service, Beijing Hospital, Beijing 100730, China 
褚德发 Department of Medical Service, Beijing Hospital, Beijing 100730, China 
周清德 Department of Medical Service, Beijing Hospital, Beijing 100730, China 
邓亚中 中国预防医学科学院卫生信息中心 
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Abstract:
      目的 调查分析住院患者的医院感染情况。方法 对 2 0 0 0年期间住院病房收治的12 418例患者进行回顾性调查。结果 发生医院感染者 378例,医院感染发病率为 3.0 4%。不同性别、年龄医院感染发病率差异有显著性,男性高于女性,随着年龄的增长,医院感染的发病率增高,医院感染部位主要为下呼吸道 (35.99% )、上呼吸道 (2 2.95 % )、泌尿道 (17.6 3% )和胃肠道 (10.39% ),其中主要为白色念珠菌 (15.78% )、铜绿假单胞菌 (13.15 % )、肠球菌 (11.84% ),医院感染致病菌为革兰氏阴性杆菌占 46.0 3%,革兰氏阳性球菌占 2 3.6 8%,真菌占 15.78%。医院感染致死率为 14.2 9%。结论 医院感染与性别、年龄、住院科室和侵袭性操作等密切相关,应加强医院感染的防治。
English Abstract:
      Objective To investigate the nosocomial infection among inpatients.Methods A retrospective study on 12 418 inpatients was undertaken from January to December in Beijing Hospital in 2000.ResultsThree hundred and seventy-eight cases due to nosocomial infection were identified with a rate of 3.04%.There existed significant differences with rates of different sex and ages.The infection rate in males was higher than in females.The older the age, the higher the rates of infection was noticed.Nosocomialinfections occurred mainly in the lower respiratory tract (35.99%), upper respiratory tract(22.46%), urinary tract(17.63%)and gastrointestinal tract (10.39%).The main pathogenic organisms of the nosocomial infection were Candida albicans (15.78%), Pandomonos (13.15%)and Enterococcus (11.84%)with gram negative bacilli(46.03%), gram positive coccus(23.68%)and fungus(15.78%).The overall death rate of nosocomial infection was 14.29%.Conclusions Nosocomial infections were closely correlated with sex, age, department of wards and invasive operation etc.Prevention and proper treatment of nosocomial infection should be strengthened.
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