Analysis Of Nosocomial Infection At A Hospital In Jilin Province

Objective：to study the present situation, the implementation of hospital infection in atertiary hospital in Jilin Province in the prevention and control measures, furtheranalysis of the characteristics of nosocomial infection management, a comprehensiveanalysis of the present situation of the management of infection in hospital.Methods：this paper in2012January-2012year in December hospitalized patients as theresearch object, and the binding rate and control effect of infection of domestic andforeign hospital, to put forward the scientific comprehensive infection controlrecommendations of the hospital.Results：1、Among the investigated, a total of3721hospitalized patients were male,64people infected, the infection rate reached1.72%, female inpatients of4336people, atotal of53people infected, the infection rate reached1.22%; analysis of different ageparagraph the nosocomial infection rate, it showed significant difference in differentage groups of infection(x2=22.508，P＜0.001). Statistically significant differences inthe incidence of nosocomial infection in the four quarter (x2=31.533P＜0.001), it canbe considered in different seasons of the hospital nosocomial infection rate differences,each quarter by infection rate decreased gradually.2、The occurrence of infection in different sites of infection in hospitalThe main parts of the incidence of comprehensive nosocomial infection,pulmonary infection reached52.13%, ranked the infection location in the first; thesecond was urinary tract infection was19.08%,8.86%for the blood infection,gastrointestinal infection, skin infection of3.24%is4.94%.3、The occurrence of infection in different clinical departments in hospital The survey results, each department of the hospital infection rate from high tolow as tumor department of internal medicine3.17%, abdominal tumor surgery2.28%,Department of gynecological oncology1.99%, thoracic surgery1.92%, head and necksurgery, Department of cerebral surgery, Department of Urology,1.76%1.62%,0.90%0.29%and other departments. Statistical analysis, various departments withinthe hospital infection rate was not statistically significant (x2=9.902, P>0.05), so it canbe considered that the infection was not significantly different in differentdepartments in the hospital..4、Missing report of nosocomial infection casesIn2012January to2012Decemberfour quarter of nosocomial infection missingreport rate comparison, found that the rate of missing report in the first quarter of thehighest,25%, declined in the second quarter, the third quarter rose sharply, slowdecline in the fourth quarter. After statistical analysis, from2012to the four quarter of2013the rate of missing report of nosocomial infection no significant difference(x2=1.200, P>0.05).5、The use of antibioticsIn2012January-2012year in Decembe four quarter rate of antibiotics use were58.24%,57.42%,54.55%,50.27%, generally showed a declining trend and tends to besteady.6、PathogensIt was found that43strains of pathogenic bacteria infection in the investigationof the Communist Party of China, submitted samples of172, pathogen detection ratereached74.51%. The case to the isolation of43strains of pathogenic bacteria ofnosocomial infection, pathogenic bacteria in the top five for Bauman and8strains ofAcinetobacter (18.60%),7strains of Candida albicans (16.28%),5strains ofStaphylococcus aureus (11.63%)(MRSA0strain), the other5strains of yeast(11.63%Sha Lei spp.),4strains (9.30%) of nosocomial infection in the site ofinfection with pulmonary infection more, pathogen mainly comes from the lungs.Candida pathogens in nosocomial infection,Candida accounted for a larger proportion.7、correlation analysis, risk factorsOperation in2419cases, the rate of infection (1.86%), no operation in5638cases, the rate of infection (1.27%), whether the effect of operation on the occurrence of hospital infection had no significant difference (x2=2.137, P>0.05); type I incisionin1081cases, the infection rate was1.94%, class II incision962cases, the infectionrate was1.35%, class III incision in376cases, the infection rate was2.93%, operationincision different had no significant difference on the rate of hospital infection(x2=2.1282, P>0.05); Study on the factors of nosocomial infection, urinarycatheterization, ventilator, tracheotomy, arteriovenous catheter, is a high risk factor ofnosocomial infection.