摘要
目的了解某综合医院住院患者医院感染现状,为有效控制医院感染提供科学依据。方法采用横断面调查方法,床旁调查和病历调查相结合,对调查日发生医院感染的病例进行统计分析。结果共调查住院患者1335例,发生医院感染96例、101例次,现患率为7.19%、例次感染率为7.57%,其中以综合ICU最高,占33.33%;医院感染部位以下呼吸道为主,占38.61%;分离出病原菌24株,以革兰阴性菌为主;调查日抗菌药物使用率为52.43%。结论通过现患率调查,明确了解医院感染的重点科室、重点部位和重点环节,应加强重点科室、重点部位、重点环节管理,降低呼吸道感染,合理使用抗菌药物,避免交叉感染,从而不断降低医院感染率。
OBJECTIVE To investigate the present situation of nosocomial infections in a general hospital and to provide scientific evidence for effective surveillance of nosocomial infections.METHODS Bedside investigation and medical record review combined with cross-sectional survey methodology were performed for statistical analysis of nosocomial infections.RESULTS A total of 1335 inpatients were investigated.There were 96 cases of nosocomial infection with 101 case-times.The prevalence rate of nosocomial infection was 7.19% and the case-time infection rate was 7.57%.The highest nosocomial infection prevalence rate was found in the general ICU（33.33%）.Infection sites were mainly low respiratory tract（38.61%）;majority of 24 pathogen isolates were gram-negative bacilli;the application rate of antibiotics was 52.43% on the day of investigation.CONCLUSION A comprehensive understanding about the important departments,sites and process of NI and CAI is achieved through the investigation on current prevalence rate.Strengthen hospital infection management,reduce respiratory tract infection,rationally use antibiotics and avoid medical cross infection can continuously reduce the nosocomial infection rate.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第13期2773-2775,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
现患率
调查
Nosocomial infection
Prevalence rate
Investigation
