摘要
目的了解医院感染发生的基本情况、抗菌药物的使用及病原菌的送检情况,发现存在医院感染的隐患,为有效控制医院感染,提高医院感染管理水平提供科学依据。方法采用横断面调查的方法,在指定的时间段内查阅在架病历,床旁访视患者,填写统一调查表,对调查结果进行统计分析。结果应查病历435份,实查病历435份,实查率为100%,医院感染现患率为2.8%,医院感染部位以呼吸道感染居首位,其中下呼吸道感染为83.3%,表浅切口感染为8.3%,器官腔隙感染为8.3%;抗菌药物使用率为39.1%;治疗用药病原学送检率为53.8%。结论现患率调查能真实反映医院感染的易感因素、存在的问题,有助于不断改进预防、控制措施,提高医院感染控制质量,降低医院感染的发生率。
Objective To investigate the status of nosocomial infection, the use of antibacterials and the detectable rate of pathogenic germs so as to discover the potential problems of nosocomial infection and provide a scientific basis for controlling nosocomial infection effectively and improving the management of nosocomial infection. Methods With the method of cross - sec- tional Survey, the inpatients were visited, the medical records were looked up in the specified period and unified questionnaires were completed. At last the statistical analysis of survey results was made. Results Four hundred and thirty - five medical records were planned and checked, the check rate was 100%. Among those 435 cases, the prevalence rate of nosocomial infection was 2.8 %. The respiratory tract infection rate was top among all nosocomial infection cases, which included lower respiratory tract infection （83.3%）, superficial incisional infection （8.3%） and organ lacunar infection （8.3%）. The utilization rate of antibacterial drugs was 39.1%, and the pathogenic detection rate in medication was 53.8 %. Conclusions The prevalence survey can truthfully reflect the risk factors and the existing problems in nosocomial infection. It is conducive to constantly improving prevention and control measures, promoting the control quality of nosocomial infection and reducing the incidence rate of nosocomial infection.
出处
《实用预防医学》
CAS
2013年第2期218-220,共3页
Practical Preventive Medicine
关键词
医院感染
现患率
调查分析
Nosocomial infection
Prevalence rate
Investigation and analysis
