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中文摘要: 目的：调查分析某三级中医院住院患者感染病例，系统掌握医院感染的相关数据，为该中医院医院感染管理工作可持续发展提供科学依据。方法：对2019年9月至2021年9月入住某三级中医院住院患者进行回顾性研究，并对发生医院感染的病例进行统计学汇总分析。结果：2019年9月至2021年9月共监测住院患者58 013人，发生医院感染491例次，医院感染例次率为0.85%，年龄越高，医院感染率越高，且不同年龄组患者医院感染率有统计学差异（P＜0.01）；呼吸系统感染例次率（0.36%）最高，其次为泌尿系统感染（感染例次率为0.20%），按医院片区划分，内科片科室医院感染例次率（1.55%）最高，其次为外科片科室（感染例次率为0.55%）；医院感染病原菌以革兰阴性菌为主，占74.33%，主要为肺炎克雷伯菌、大肠埃希菌；其次为革兰阳性菌，占18.51%，主要为金黄色葡萄球菌、表皮葡萄球菌；真菌占7.16%；多重耐药菌占医院感染病原菌25.37%，以多耐药的鲍曼不动杆菌（MDRAB）、耐甲氧西林的金黄色葡萄球菌（MRSA）、多耐药的铜绿假单胞菌（MDRPA）为主，其检出率分别为68%、62.5％、55.56%。结论：本研究客观真实地反映了某三级中医院医院感染率、高危感染部位、高发科室、医院感染病原菌情况，为今后针对性开展目标性监测工作提供了有力的依据。
Abstract:Objective：By investigating and analyzing the infection cases of inpatients in a certain tertiary traditional Chinese medicine（TCM） hospital，we can systematically grasp the relevant data of nosocomial infection，so as to provide a scientific basis for the sustainable development of the nosocomial infection management in this TCM hospital. Methods：A retrospective study was conducted on inpatients admitted to acertain tertiary traditional Chinese medicine hospital from September 2019 to September 2021，and a statistical summary analysis of the cases of nosocomial infection was conducted. Results：From September 2019 to September 2021，a total of 58，013 hospitalized patients were monitored，and 491 nosocomial infections occurred，with a nosocomial infection rate of 0.85%. The higher the age，the higher the nosocomial infection rate，and the nosocomial infection rate of patients in different age groups was statistically different（P＜0.01）. Respiratory system infection rate（0.36%）was the highest，followed by urinary system infection（infection rate was 0.20%）. The department of internal medicine has the highest infection rate（1.55%），followed by the department of surgery（0.55%）. Nosocomial infection pathogens were mainly Gram-negative bacteria，accounting for 74.33%，mainly Klebsiella pneumoniae and Escherichia coli；followed by Gram-positive bacteria，accounting for 18.51%，mainly Staphylococcus aureus and Staphylococcus epidermidis；Fungi accounted for 7.16%. Multidrug-resistant bacterial infections accounted for 25.37% of nosocomial pathogens，with multidrug-resistant Acinetobacter baumannii（MDRAB），methicillin-resistant Staphylococcus aureus（MRSA），multidrug-resistant Pseudomonas aeruginosa（MDRPA），the detection rates were 68%，62.5%，and 55.56%，respectively. Conclusions：This study objectively and truly reflects the nosocomial infection rate，high-risk infection sites，high-incidence departments，and nosocomial pathogenic bacteria in a certaintertiary TCM hospital，and can provide a strong basis for targeted monitoring work in the future.
keywords: Tertiary Traditional Chinese Medicine（TCM）Hospital Hospital Infection Pathogens Prevention and Control
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基金项目:江苏省医院协会医院管理创新研究项目（JSYGY-3-2020-187）；南通市卫生和计划生育委员会科研项目（QA2020066）；南通大学附属医院院级课题（Tfg1904） 江苏省医院协会医院管理创新研究项目（JSYGY-3-2020-187）；南通市卫生和计划生育委员会科研项目（QA2020066）；南通大学附属医院院级课题（Tfg1904）
引用文本：
张 妍,陈晓君*,陈 红.某三级中医院住院患者医院感染病例调查分析△[J].江苏卫生事业管理,2022,33(3):334-337.
ZHANG Yan,CHEN Xiaojun*,CHEN Hong.Investigation and Analysis of NosocomialInfection Cases among Inpatients in aCertainTertiary Traditional Chinese Medicine Hospital△[J].Jiangsu Health System Management,2022,33(3):334-337.
张 妍,陈晓君*,陈 红.某三级中医院住院患者医院感染病例调查分析△[J].江苏卫生事业管理,2022,33(3):334-337.
ZHANG Yan,CHEN Xiaojun*,CHEN Hong.Investigation and Analysis of NosocomialInfection Cases among Inpatients in aCertainTertiary Traditional Chinese Medicine Hospital△[J].Jiangsu Health System Management,2022,33(3):334-337.
