中国近30年医院感染暴发事件的流行特征与对策
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陈萍

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R181.3+2

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Epidemiological characteristics and preventive strategies of nosocomial infection outbreak incidents in China in recent 30 years
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    摘要:

    目的调查中国近30年医院感染暴发事件发生情况及其流行病学特征。方法通过文献检索,对1980年1月—2009年12 月发生的医院感染暴发事件进行回顾性分析。结果检索近30年国内医院感染暴发事件共352起,感染7 656人,病死341人。感染病原体以细菌、病毒为主,占91.48%;主要传播途径为接触传播(44.32%)、医源性传播(43.18%);夏季医院感染暴发事件发生概率最高(35.51%,125/352);婴幼儿是感染暴发事件中的最大受害者(占43.99%),新生儿病死率达84.58% (192/227);普通级医院(省、市、县级医院)是感染暴发事件的高发区(73.58%,259/352);感染部位主要为肠道(32.07%)、下呼吸道(26.19%)、血液系统(14.07%);医务人员手交叉感染、血液制品污染、消毒隔离措施不到位、违反操作规程等是感染事件暴发的主要原因。结论医院感染的发生有一定规律可循,应针对其暴发流行的特征制定干预措施,有效预防、控制感染的暴发。

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    ObjectiveTo investigate the epidemiological characteristics of nosocomial infection (NI) outbreak incidents in recent 30 years .MethodsNI outbreak occurred between January, 1980 and December, 2009 were surveyed retrospectively through literature index survey .ResultsThere were 352 cases of NI outbreak in China in recent 30 years, 7 656 persons were infected, and 341 died. The major pathogens of infection were bacteria and virus(91.48%), the main spread routes were contact(44.32%) and iatrogenic infection(43.18%); the peak season of NI outbreak was summer(35.51%, 125/352); the major population of cases were infants (43.99%), the mortality of infants was 84.58% (192/227); general hospitals (provincial,city,countylevel) were the high area of outbreak(73.58%, 259/352); the major infection sites were intestinal tract (32.07%), lower respiratory tract (26.19%), and blood stream(14.07%); The main causes of outbreak were cross infection of health care workers’ hands, contamination of blood product, insufficient disinfection and isolation, incorrect manipulation, et al .ConclusionThe outbreak of NI had certain regulation, preventive measures should be drawn up based on epidemiological characteristics, so as to control the outbreak of NI effectively.

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引用本文

陈萍,刘丁.中国近30年医院感染暴发事件的流行特征与对策[J]. 中国感染控制杂志,2010,9(6):387-392.
CHEN Ping, LIU Ding. Epidemiological characteristics and preventive strategies of nosocomial infection outbreak incidents in China in recent 30 years[J]. Chin J Infect Control, 2010,9(6):387-392.

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  • 收稿日期:2010-03-19
  • 最后修改日期:2010-05-19
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  • 在线发布日期: 2010-11-30
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