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对1995年1月~12月住院死亡病例进行回顾性调查。结果:发生医院感染54例,感染率为22.9%;感染89例次,例次感染率为37.7%,感染部位以下呼吸道为主,占感染例次的30.3%,其次为皮肤软组织感染(包括烧伤科病人),占感染例次的26.2%。感染率随着住院时间延长而增加。院内感染外科占首位,为30.9%,其次为儿科,占20%。侵入性操作(指全麻、气管插管、气管切开、上呼吸机、插尿管、胃管、动静脉插管、手术)248次,每例患者平均1.05次。常见的主要病原菌为:铜绿假单胞菌、大肠埃希氏菌、施氏假单胞菌、金葡菌、液化沙雷氏菌。抗生素使用率达98.7%。
A retrospective survey of hospital deaths from January to December 1995 was conducted. Results: There were 54 cases of nosocomial infection, the infection rate was 22.9%; 89 cases were infected, the infection rate was 37.7%, the respiratory tract was the main infection area, accounting for 30.3% of the infection cases, followed by Skin and soft tissue infections (including burns) accounted for 26.2% of infections. The infection rate increases with length of stay. Nosocomial infection surgery accounted for the first place, 30.9%, followed by pediatrics, accounting for 20%. Invasive operations (referring to general anesthesia, endotracheal intubation, tracheotomy, upper ventilator, insertion catheter, gastric tube, arteriovenous catheterization, and surgery) were performed 248 times, with an average of 1.05 per patient. Common pathogens are: Pseudomonas aeruginosa, Escherichia coli, Pseudomonas stutzeri, Staphylococcus aureus, and Serratia liquefaciens. The use of antibiotics reached 98.7%.