摘要
目的了解住院患者医院感染率与抗菌药物使用情况,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,结合床旁调查和病历调查,对某三级综合医院2015年4月14日0:00-24:00的住院患者进行医院感染现患率调查。结果应调查892人,实际调查883人,实际调查率为98.99%。发现医院感染病例20例,24例次,医院感染现患率为2.27%,例次患病率为2.72%。重症医学科感染率为57.14%;医院感染部位以下呼吸道为主,占50.00%;共分离出病原菌15株;抗菌药物使用率为23.10%,治疗用药占78.92%,预防用药占13.24%,一联用药占88.73%。治疗性使用抗菌药物病原学送检率为56.37%。结论应加强重点科室、重点环节、高危人群的医院感染预防与控制,提高治疗性抗菌药物病原学送检率,指导合理使用抗菌药物,加强医院感染集束化防控措施的落实。
Objective To understand the prevalence of infections in the hospitalized patients and observe the use of antibi-otics so as to provide scientific basis for improvement of control of nosocomial infections. Methods By means of cross-sectional survey combined with bedside investigation and review of medical records, the prevalence rate of nosocomial infec-tions was investigated for patients who were hospitalized during 0：00-24：00 on Apr 14,2015. Results A total of 892 pa-tients were expected to investigate, and 883 patients were actually investigated with the actual investigation rate of 98. 99%. The nosocomial infections occurred in 20 cases （24 case-times） with the infection rate of 2. 27%and the case-time infection rate of 2. 72%. The nosocomial infections rate in the intensive care ward was as high as 57. 14%. The lower respiratory tract was the main infection site, accounting for 50. 00%. A total of 15 strains of pathogens causing nosocomial infections have been isolated. The utilization rate of antibiotics was 23. 10%, of the patients who used antibiotics, the pa-tients who used therapeutic antibiotics accounted for 78. 92%, and the patients who used prophylactic antibiotics accounted for 13. 24%, the patients who received one-drug therapy accounted for 88. 73%. The submission rate of the bacterial cul-ture for therapeutic antibiotics was 56. 37%. Conclusion It is necessary to strengthen the prevention and control of noso-comial infections in the key department, the important link, and the high-risk groups, and enhance the etiological exami-nation to guide the reasonable use of antibiotics, and strengthen the implementation of cluster management measures for nos-ocomial infections so as to reduce the incidence rate of nosocomial infections.
作者
朱熠
潘颖颖
庄建文
张淑敏
段温温
ZHU Yi PAN Ying-ying ZHUANG Jian-wen ZHANG Shu-min DUAN Wen-wen(The Hospital of Xinjiang Production And Construction Corps ,The Second Hospital Affiliated College of Medical Shihezi University, Urumqi Xinjiang 830002, Chin)
出处
《中国消毒学杂志》
CAS
北大核心
2017年第1期52-54,共3页
Chinese Journal of Disinfection
基金
2015年兵团卫生科技计划项目(兵卫发[2015]50号)
关键词
医院感染
横断面调查
抗菌药物
healthcare-associated infection
cross-sectional survey
antibiotic
