【摘要】：目的了解上海某三級(jí)綜合性醫(yī)院的醫(yī)院感染死亡患者相關(guān)危險(xiǎn)因素及其成本效益,加強(qiáng)醫(yī)院感染的相關(guān)危險(xiǎn)因素的動(dòng)態(tài)監(jiān)測(cè),并及時(shí)采取相應(yīng)的醫(yī)院感染預(yù)防措施,使醫(yī)院感染管理決策更具科學(xué)性、合理性。方法通過醫(yī)院感染監(jiān)測(cè)系統(tǒng)和醫(yī)師工作站獲取該醫(yī)院2012-2013年醫(yī)院感染死亡病例相關(guān)數(shù)據(jù),運(yùn)用Excel2013以及SPSS18.0對(duì)相關(guān)數(shù)據(jù)進(jìn)行整理、分析。結(jié)果兩年發(fā)生醫(yī)院感染患者共1 506例,醫(yī)院感染死亡63例,病死率為4.2%;醫(yī)院感染患者年齡(65.4±16.6)歲,60歲的老年患者死亡比例最高;住院天數(shù)為(2~2 164)d,中值為28d;醫(yī)院感染死亡患者下呼吸道感染率為54.0%;科室分布中以急救科最多,占20.6%;感染的革蘭陰性菌占62.1%;醫(yī)院感染死亡患者中住院總費(fèi)用中位值為168 174.4元。結(jié)論上海市某醫(yī)院醫(yī)院感染病死率處于較高水平,醫(yī)院感染死亡患者住院天數(shù)的延長(zhǎng),增加總體醫(yī)療費(fèi)用;感染部位以下呼吸道感染為主,主要病原菌為革蘭陰性菌;患者年齡大、基礎(chǔ)疾病嚴(yán)重是醫(yī)院感染的危險(xiǎn)因素。
[Abstract]:Objective to understand the related risk factors and cost-effectiveness of hospital infection and death in a three-grade general hospital in Shanghai, to strengthen the dynamic monitoring of risk factors related to hospital infection, and to take corresponding preventive measures of hospital infection in time. Make the hospital infection management decision more scientific and reasonable. Methods the data of hospital infection death cases in this hospital from 2012 to 2013 were obtained by hospital infection surveillance system and physician workstation. Excel2013 and SPSS18.0 were used to sort out and analyze the related data. Results A total of 1 506 patients with hospital infection occurred in two years, 63 patients died of hospital infection, the fatality rate was 4.2%, the age of hospital infection patients was (65.4 鹵16.6) years old, and the mortality rate of elderly patients aged 60 years was the highest. The hospitalization days were (2 鈮，

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