摘要
目的了解泌尿肾病医院感染现状及医院感染管理中存在的问题,为提高医院感染管理水平提供依据。方法采用横断面调查方法,对2008年10月21日和2009年10月21日的住院患者进行了二次医院感染现患率调查。结果调查住院患者692例,医院感染21例,医院感染现患率为3.03%。呼吸系统感染9例,占42.86%;泌尿道感染6例,占28.57%;血流相关性感染(导管相关性感染)3例,占14.29%;表浅切口、胃肠道和皮肤软组织感染各1例,占4.76%。当日抗菌药物使用率为70.23%,一联用药为45.47%,二联用药为46.50%,三联用药为8.03%。结论 ICU、肾内2科和泌尿3科为医院感染高发科室,加强有较严重基础疾病患者的监控或开展目标性监测,以及合理使用抗菌药物,对降低医院感染率有着重要意义。
Objective In order to understand the present situation and problems existed in the management of nosocomial infections,and provide basis for improving the management level in the urinary and nephropathy hospital.Methods Cross-sectional studies were carried out in 692 inpatients on the 9th December 2008 and the 21th October 2009.Results 21 cases of nosocomial infections occurred and the point prevalence rate was 3.03%.There were 9 cases（42.86%） with respiratory tract infections,6 cases（28.57%） with urinary tract infections,3 cases（14.29%） with catheter-related bloodstream infections,1 case（4.76%） with superficial incision infection,1 case（4.76%） with gastrointestinal infection and 1 case（4.76%） with skin soft-tissue infection.At the same day the antibiotic utilization rate was 70.23%,and single antibiotic treatment rate was 45.47%,combination of two and three antibiotics was 46.50 % and 8.03% respectively.Conclusion Nosocomial infections mainly occurr in intensive care unit（ICU）,the departments of nephrology（Ⅱ） and urology（Ⅲ）.It is important to reduce the rate of nosocomial infections by strengthen the target surveillance of the patients with serious original diseases and rational use of antibiotics.
出处
《中国消毒学杂志》
CAS
2010年第6期703-705,共3页
Chinese Journal of Disinfection
关键词
医院感染
现患率
抗菌药物
nosocomial infection
prevalence rate
antibiotics
