本文選題：急診內(nèi)科　切入點：醫(yī)院感染　出處：《中華醫(yī)院感染學雜志》2014年09期

【摘要】：目的分析急診內(nèi)科患者醫(yī)院感染發(fā)生情況,并提出相應的預防對策。方法采用回顧性調(diào)查方法對醫(yī)院急診內(nèi)科220例住院患者的臨床資料進行目標性監(jiān)測,分析器械使用情況及相關感染率,并進行數(shù)據(jù)對比。結果 220例患者合計住院3591d,發(fā)生醫(yī)院感染43例,感染率為19.5%,日感染率為11.9‰,根據(jù)病情嚴重程度調(diào)整日感染率為4.5‰;感染部位以呼吸道為主占60.4%,其次為泌尿系統(tǒng)占27.9%;呼吸機、留置尿管和中心靜脈導管的使用率為15.56%、81.25%、33.33%,導管相關性肺部感染、血流感染、泌尿道感染分別為23.8%、2.20%和0;共分離出病原菌119株,其中革蘭陰性菌86株占72.27%;革蘭陽性菌33株占27.73%。結論急診內(nèi)科感染率較高,尤其是呼吸機相關性肺部感染率顯著高于國外水平,感染病原菌以非發(fā)酵菌為主,病原菌呈多藥耐藥性,應采取有針對性的干預措施。
[Abstract]:Objective to analyze the incidence of nosocomial infection in patients in emergency department of internal medicine and to put forward corresponding preventive measures.Methods the clinical data of 220 inpatients in the department of emergency department of hospital were investigated retrospectively. The use of instruments and the relative infection rate were analyzed and compared.Results 220 patients were hospitalized for 3 591 days, 43 patients had nosocomial infection, the infection rate was 19.55.The daily infection rate was 11.9 鈥，

本文編號：1724768