摘要
目的了解医院感染基本情况,进一步完善医院感染监控措施。方法采用横断面调查的方法,对2010年3月23日的住院患者进行了医院感染现患率调查,并将资料进行汇总、整理、分析。结果应查住院患者807例,实查799例,实查率99.01%,发生医院感染23例,现患率为2.88%,例次感染26例次,例次感染率为3.25%;感染部位前3位依次为下呼吸道、上呼吸道、泌尿道感染,分别占53.84%、19.23%、11.54%;有380例使用抗菌药物,抗菌药物使用率为47.56%;其中治疗性使用抗菌药物231例次,占28.91%,预防性使用抗菌药物142例次,占17.77%;抗菌药物以一联用药较多207例次,占54.47%;全院治疗性细菌培养送检率为38.37%,检出病原菌9株,为肺炎克雷伯菌、链球菌属、铜绿假单胞菌等。结论加强重点科室的目标性监测,强化医务人员感染知识培训,减少侵入性操作,合理应用抗菌药物,降低医院感染发生率。
OBJECTIVE To provide evidences for working out methods of nosocomial infection surveillance on the basis of investigation of nosocomial infection in our hospital. METHODS With a method of transversal sectional investigation, choosing the Mar 23,2010 as the section plane, investigated all hospitalized patients of the day, and the nosocomial infection cases were sorted out and analyzed. RESULTS A total of 799 cases were actually checked; 23 cases nosocomial infection with the prevalence rate of 2. 88%, 26 cases of infected patients infection with infection rate 3.25 % ;The top three HAIs were lower respiratory tract infection（53.84 %）, upper respiratory tract infection（19.23 %）, urinary tract infection（11. 54 %）, The whole hospital antibiortc treatment If bacterial culture detection rate was 38.37%, 9 cases of nosocomial infection were detected（Klebsiella pneumoniae, streptococcus and Pseudomonas aeruginosa, and so on）. Antibacterial drug usage rate was 47. 55%. CONCLUSION It can decrease nosocomial infections incidence by enhancing the targeted surveillance in key departments and the training of medical staff about the infection knowledge, declineing the invasive operation and reasonably applying the antibiotics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第5期870-871,共2页
Chinese Journal of Nosocomiology
关键词
医院感染
现患率
危险因素
抗菌药物
Nosocomial infections
Prevalence rater Risk factors, Antibiotics
