目的做好综合医院医院感染控制的技术指导、管理和督查工作,预防和降低医院感染的发生。方法对医院2003年1月-2007年1月出院的95193份病历进行回顾性调查。结果95193例住院患者发生医院感染5024例,感染率为5.28%,感染例次5545例,感染例次率5.83%;内科感染率8.49%,感染例次率9.53%,居首位,感染部位以上、下呼吸道感染为主,构成比分别为30.66%、23.20%。结论减少或避免侵入性操作,合理使用抗菌药物,做好重点人群、重点科室的目标监测,对控制医院感染率非常重要。 Objective To improve the technical guidance, management and supervision of hospital infection control in general hospitals so as to prevent and reduce the occurrence of nosocomial infections. Methods A retrospective survey of 95,193 medical records of hospital discharged from January 2003 to January 2007 was conducted. Results Among 95193 hospitalized patients, 5024 cases of nosocomial infection occurred, with the infection rate of 5.28%, 5545 cases of infection, the infection rate of 5.83%, the infection rate of internal medicine of 8.49% and the incidence of infection rate of 9.53% , Lower respiratory tract infection, the constituent ratio was 30.66%, 23.20%. Conclusion Reducing or avoiding invasive procedures, rational use of antimicrobial agents, good target monitoring in key populations and key departments are very important for controlling the rate of nosocomial infections.