摘要
目的了解儿童医院住院患儿医院感染现患率状况及感染相关因素,为制定预防和控制措施提供参考。方法采用横断面调查方法,分别在2011-2013年同一时段对某儿童医院住院患者医院感染现患率进行调查与分析。结果该儿童医院在连续3年调查住院患儿医院感染现患率分别为6.36%、6.99%和4.55%。重症监护病房(ICU)、血液科、神经内科、消化科、肾内科为医院感染高发科室。医院感染部位以呼吸道居首位,其次是胃肠道和血液系统。共检出病原微生物18种57株,病毒性感染居首位,占50.88%;其次是革兰阴性菌和革兰阳性菌,构成比分别为26.32%、15.79%;真菌和支原体均为3.51%。抗菌药物使用率为65.31%,病原学标本送检率为54.71%。结论该儿童医院住院患儿连续3年医院感染现患率无显著变化,应结合儿童医院特点制定有效防控对策。
Objective To know the current situation of the nosocomial infection prevalence rates of child inpatients and the factors associated with infection and to provide a scientific evidences for prevention and control of the nosocomial infec- tion. Methods Cross section investigation method was used to survey and analyze the nosocomial infection prevalence rates of child inpatients in a children＇s hospital respectively in the same period of 2011 -2013. Results The nosocomial infec- tion prevalence rates of child inpatients in 3 consecutive years in the children＇s hospital respectively was 6. 36%, 6.99% and 4. 55% respectively. The ICU, hematology department, neurology department, gastroenterology department and neph- rology department were the departments at high risk of nosocomial infections. The respiratory tract was the most common in- fection sites, and followed by gastrointestinal and blood system. Fifty -seven pathogenic strains were detected （total eight- een kinds）. Viral infection was the common, accounting for 50. 88% , secondly the gram - positive cocci and the gram - negative bacilli, and the constituent ratios of them were 26. 32% and 15.79% respectively. However, the constituent ratios of funS and mycoplasma were 3.51%. The total application rate of antibacterial drugs was 65.31%. The pathogenic exam- ination rate was 54.71%. Condusion The prevalence of nosocomial infections in the children＇s hospital had not signifi- cantly changed in 3 consecutive years. According to the characteristics of children＇s hospital, we should formulate some ef- fective prevention and control
出处
《中国消毒学杂志》
CAS
北大核心
2015年第1期40-43,共4页
Chinese Journal of Disinfection
关键词
医院感染
现患率
抗菌药物
调查
nosocomial infection
prevalence rate
antibiotics
investigation
