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医院内感染422例的微生态学分析
引用本文:李兰娟,吴瑶.医院内感染422例的微生态学分析[J].中国微生态学杂志,1994(5).
作者姓名:李兰娟  吴瑶
作者单位:Fitst Affiliated Hospital,ZheJiang Medical University Hang Zhou 310003
摘    要:本文对我院在1992年6月至1993年5月8520例出院病人中,参照卫生部医政司院内感染监控协调小组确定的标准分类的422例院内感染进行调查和微生态分析。院内感染总发生率为4.95%,依次以肾移植血液透析中心、血液病科、监护中心较高,分别为50.88%、26.29%、24.07%,按年龄分组以大于50岁组院内感染率最高,为44.39%。院内感染部位以下呼吸道感染最高(39.63%),其次为手术伤口感染(29.07%),泌尿道感染(11.58%)。院内感染病医学检查以“G ̄-”杆菌为主(51.5%),真菌感染为33.53%。药敏试验对抗茵素都有不同程度耐药。提示要高度重视院内感染监测,严格控制抗生素应用,重视对手术室、病区环境净化和对病人的保护性措施,以预防和治疗院内感染。

关 键 词:院内感染,抗生素,耐药性

MICROECOLGICAL ANALYSIS OF 422 NOSOCOMIAL INFECTION CASES
Li Lan Juan, Wu Yao.MICROECOLGICAL ANALYSIS OF 422 NOSOCOMIAL INFECTION CASES[J].Chinese Journal of Microecology,1994(5).
Authors:Li Lan Juan  Wu Yao
Abstract:nosocomial infection cases occurred in our hospital from June 1992 to May 1993 were investigated and anatysed.The nosocomial infection incidence was 4.95 percent(422/8520).It mainly occurred in the center of kidney transplantation and hemodialysis,the department of hematopathy and the intensive care unit.It accounted for 50.38percent.26.29 percent and 24.07 percent separately,The incidence was higher in the pat ientsover fifty years old in all of the age groups.It accountedfor 44.39 percent.It mainty caused lowersr spiratory infection,wound infection and urinaryinfection.The predominant pathogens were Graim-Stain negative bacilliand fungi.Drug susceptibility test appeared that the pathogens wereresistant to antibiotics in different degree.These study results appearedthat we must pay attention to the surveillance of nosocomial infectionand the controlling of using antibiotics, pay attention to environmentalpurification of the operation room and the patient rooms and the protective measures of t the patients to prevent the nosocomial infetion.
Keywords:Nosocomial Infection Antibiotics Drug Reslstance
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