关键词: 中西医结合, 患者, 医院感染

Abstract: Objective To explore the risk factors of nosocomial infections in integrated traditional Chinese and western medicine department and analyze the countermeasures. Methods 6 326 cases of hospitalized patients in Integrative Medicine Department of Hebei University from January 2015 to December,2017 were selected. The incidence of nosocomial infection,sources of samples,pathogenic bacteria and drug sensitivity were statistically analyzed. Results 118 patients(3.12%)had nosocomial infection in cerebrovascular disease. 81 strains of pathogenic bacteria were isolated,including 49 strains of Gram-negative bacteria(60.49%),22 strains of Gram-positive bacteria(27.16%)and 10 strains of fungi(12.35%). Among them,30(37.03%)sputum specimens,28(34.57%)blood specimens and 8(9.88%)urine specimens were the top three sources. Nosocomial infection occurred in 182 cases. The top three were lower respiratory tract infection in 121 cases(66.48%),urinary infection in 26 cases(14.29%)and upper respiratory tract infection in 10 cases(4.40%). Drug susceptibility tracttest showed that Gram-negative bacilli had high resistance rate to common penicillins and first and second generation cephalosporins, and also to third and fourth generation cephalosporins and carbapenems. Conclusion Comprehensive interventions such as shortening hospitalization time, actively treating primary diseases, improving the quality of medical care, improving hospital environment, improving patient resistance, and rational use of antibiotics should be taken to reduce the incidence of nosocomial infection of inpatients in integrated traditional Chinese and western medicine.

Key words: integrated traditional Chinese and western medicine, patient, hospital infection