CAJ | 학술논문

目的：分析综合性医院内科住院患者发生医院感染的部位分布及病原菌谱，为临床合理用药提供依据。方法选择综合医院内科住院后出现医院感染的194例患者为研究对象，分析感染部位及病原菌谱。结果194例感染患者中48例在肿瘤内科，感染率占6．3％；呼吸道感染明显高于其他部位感染，有141例，占72．3％；共分离出238株病原菌，其中鲍氏不动杆菌87株占36．6％，明显高于其他病原菌所占比例，差异均有统计学意义（ P＜0．05）。结论综合医院内科医院感染以肿瘤内科高发，呼吸道感染为主，感染的革兰氏阴性菌主要为鲍氏不动杆菌。
목적：분석종합성의원내과주원환자발생의원감염적부위분포급병원균보，위림상합리용약제공의거。방법선택종합의원내과주원후출현의원감염적194례환자위연구대상，분석감염부위급병원균보。결과194례감염환자중48례재종류내과，감염솔점6．3％；호흡도감염명현고우기타부위감염，유141례，점72．3％；공분리출238주병원균，기중포씨불동간균87주점36．6％，명현고우기타병원균소점비례，차이균유통계학의의（ P＜0．05）。결론종합의원내과의원감염이종류내과고발，호흡도감염위주，감염적혁란씨음성균주요위포씨불동간균。
Objective Analysis general hospital hospitalized patients infected area hospital pathogen spectrum distribution and provide the basis for rational drug use .Methods Select the General Hospital Medicine Hospital In‐fection occurs 194 patients for the study ,analysis of the site of infection and pathogen spectrum after hospitalization . Results 194 cases of infection in 48 cases in oncology ,infection (6 .3% );respiratory tract infection was significantly higher than in other parts of the infection ,there are 141 cases ,accounting for 72 .3% ;238 pathogens were isolated ,in‐cluding Acinetobacter spp accounted for 87 36 .6% ,significantly higher than the proportion of other pathogens ,the differences were statistically significant(P<0 .05) .Conclusion General Hospital medical oncology hospital infection with a high incidence of respiratory infections mainly Gram‐negative bacterial infections mainly Acinetobacter spp .