摘要
目的了解该院住院患者医院感染现状,提高医务人员预防控制医院感染的意识,有效预防和控制医院感染。方法采用横断面调查的方法对2011年6月调查当日00:00～24:00所有住院患者进行医院感染患病率调查。结果应调查840例,实查840例,实查率100%;发生医院感染36例,医院感染患病率为4.29%,感染37例次,例次感染率为4.41%;感染部位以下呼吸道居首位,占45.95%,其他依次为皮肤软组织16.22%、口腔感染10.81%、上呼吸道8.10%、胃肠道8.10%、泌尿道感染5.41%、手术后肺炎2.70%、深部切口2.70%;血液科为医院感染高发科室,感染率为28.57%,其次是综合重症监护室(ICU),感染率为20.00%;抗菌药物日使用率为59.52%,治疗用药占48.60%,治疗+预防用药占30.00%,预防用药占21.40%,单联为70.60%,二联为28.80%,三联为0.60%;检出病原菌25株,革兰阴性菌16株,革兰阳性菌7株、真菌(白假丝酵母菌)2株。结论医院感染患病率调查快捷有效,获得的信息为医院及卫生行政部门制定医院感染的预防控制措施,合理使用抗菌药物和提高医院感染管理与控制水平提供科学依据。
Objective To investigate the current situation of infection rate on inpatients and improve the awareness of medical personnel in regard to their participation in infection control and prevention for achieving a more effective way to control and prevent infection at our hospital.Methods The cross-sectional study was adopted as the research method to analyse the result of the nosocomial infection prevalence survey of all the inpatients in hospital in Jun.2011.Results In the total 840 specimens,there are 36 times of nosocomial infection(4.29%) and 37 times of infection(4.41%).The top 8 infection portions are lower respiratory tract infection(45.95%),skin soft tissue infection(16.22%),oral infection(10.81%),upper respiratory tract infection(8.10%),gastrointestinal tract infection(8.10%),urinary tract infection(5.41%),postoperative pneumonia(2.70%),deep incision infection(2.70%).Hematology department has the highest infection rate(28.57%) around other departments,comprehensive ICU(20.00%) is in the second place.Daily antibacterial drugs utilization rate is 59.52% in which the drugs for treatment only account for 48.60%,drugs for treatment+prevention(30.00%),drugs for prevention only(21.40%).Single antibiotic was used in 70.60%,two-drug combination in 28.80%,three-drug combination in 0.60%.25 strains of pathogenic bacteria,16 strains of gram negative bacteria,7 strains of Gram positive bacteria and 2 strains of fungus(Candida albicans).Conclusion The method of prevalence rate investigation is fast+effective.Meanwhile the information we got from this research can also be used for establishing the hospital infection control+prevention measure,normalizing the utilization of antibiotics and improving the level of hospital infection management as a scientific basis.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第11期1266-1268,共3页
Chongqing medicine
关键词
交叉感染
患病率
感染部位
病原菌
抗菌药物
cross infection
prevalence
infection portion
pathogenic bacteria
antibiotics
