摘要
目的了解医院住院患者医院感染发生情况,为制定医院感染预防制度和措施提供依据。方法采用横断面调查和床旁调查方法,对某医院连续4年的现患率调查结果进行分析。结果该医院2013-2016年各年度住院患者医院感染现患率依次分别为3.41%、3.26%、4.53%、3.67%,例次感染率分别为3.72%、3.39%、4.80%、3.78%,差异无统计学意义(P=0.533)。医院感染现患率较高的科室为中西医结合科、儿科、神经外科。医院感染部位每年均以下呼吸道为主,构成比波动在分别占33.32%~57.58%。连续4年调查当日住院患者抗菌药物使用率波动在51.78%~60.13%,均以治疗用药和一联用药为主。结论该医院住院患者医院感染现患率均在国家规范控制范围内,但高于国内文献报道的水平,应当加强监测管理力度。
Objective To investigate the occurrence of nosocomial infection among hospitalized patients so as to provide guidance for the proposition of hospital infection control policy and measure. Methods Cross-sectional study and bedside investigation were adopted to analyze the prevalence rate of a hospital for four consecutive years. Results The prevalence rate of the hospitalized patients during 2013-2016 of the chosen hospital were 3. 41%,3. 26%,4. 53% and 3. 67%respectively. Case-time infection rate were 3. 72%,3. 39%,4. 80% and 3. 78% during these four years with no significant different（ P = 0. 533）. Departments with higher infection prevalence rate include. Department of integrated traditional Chinese and western medicine,department of pediatrics,and department of nuerosurgery. The primary infection sites during these years were all lower respiratory tract,accounting for around 33. 32%-57. 58%. The usage rate of anti-bacterial drugs on the day of hospitalization was 51. 78%-60. 13%. Anti-bacterial drugs were mostly used for treatment purposes and used in a one-drug approach. Conclusion The nosocomial infection rate of the studied hospital was within the statutory limit,but higher than the reported level in prior domestic literatures. The surveillance work should be strengthened.
作者
李炼
郑小莉
LI Lian;ZHENG Xiao - li(Southwest Medical University,Sichuan Luzhou 64600;1 School of Basic Medicine,Southwest Medical University,Chin)
出处
《中国消毒学杂志》
北大核心
2017年第12期1135-1137,共3页
Chinese Journal of Disinfection
关键词
医院感染
现患率
抗菌药物
防控措施
nosocomial infection
prevalence rate
anti -bacterial drug
prevention and control measure
