摘要
目的了解湖北省中医院(以下简称"我院")住院患者医院感染现患率及抗菌药物使用状况,为制订科学的医院感染防控措施提供依据。方法 2014年8月27日、2015年8月13日以及2016年8月25日采用床旁调查和病历调查相结合的方式,对我院住院患者进行医院感染现患率调查。结果 2014年8月27日(0∶00~24∶00)、2015年8月13日(0∶00~24∶00)以及2016年8月25日(0∶00~24∶00)实查住院患者2596例,共发现医院感染54例,医院感染现患率为2.08%;2014~2016年医院感染现患率总体差异无统计学意义(P>0.05)。医院感染现患率居前5位的科室依次是普外科、血管外科、泌尿外科、肾病科以及老年病科;居前5位的感染部位依次是下呼吸道、泌尿道、上呼吸道、表浅切口以及胃肠道;居前5位的检出病原菌依次是大肠埃希菌、鲍曼不动杆菌、金黄色葡萄球菌、铜绿假单胞菌和溶血葡萄球菌。抗菌药物使用率逐年下降,差异有统计学意义(P<0.05),抗菌药物联用以一联为主(75.18%),使用目的主要为治疗用药(77.42%);治疗性使用抗菌药物送检率逐年上升,差异有统计学意义(P<0.05)。结论我院2014~2016年医院感染现患率保持在较低水平,抗菌药物使用率逐年下降,治疗性使用抗菌药物病原学送检率逐年上升。
Objective To invesLigaLe and analyze Lhe daLa on Lhe prevalence of nosocomial infecLion and use of anLibi-oLics in Lhe in-paLienLs in Hubei Provincial HospiLal of TradiLional Chinese Medicine(“our hospiLal”for shorL),so as Lo provide evidence for conLrol and prevenLion of nosocomial infecLion.Methods On AugusL 27,2014,AugusL 13,2015 and AugusL 25,2016,all Lhe in-paLienLs in our hospiLal were invesLigaLed by bedside invesLigaLion and medical records checking.Results On AugusL 27,2014(0:00-24:00),AugusL 13,2015(0:00-24:00)and AugusL 25,2016(0:00-24:00),a LoLal of 2596 in-paLienLs were invesLigaLed in whom 54 cases wiLh nosocomial infecLion were diagnosed,wiLh a preva-lence raLe of 2.08%'.No sLaLisLical difference was found among Lhe Lhree years prevalence raLe(P>0.05).The preva-lence raLe of DeparLmenL of General Surgery,Vascular Surgery,Urology Surgery,NephropaLhy and GeriaLrics ranked Lhe firsL five places;and Lhe firsL five infecLion siLes were lower respiraLory LracL,urinary LracL,upper respiraLory LracL,su-perficial incision and gasLroinLesLinal LracL;Lhe firsL five common paLhogens were Escherichia coli,AcineLobacLer bau-mannii,Staphylococcus aureus,Pseudomonas(aeruginosa and Staphylococcus haemolyticus.The usage raLe of anLibioLics decreased year by year,and Lhe difference was sLaLisLically significanL(P<0.05).Onefold use(75.18%)and LherapeuLic use(77.42%)accounLed for mosL of anLibioLics use;Lhe raLe of LherapeuLic use of anLibacLerial increased year by year,and Lhe difference was sLaLisLically significanL(P<0.05).Conclusion The prevalence raLe of nosocomial infecLion is kepL aL a low level from 2014 Lo 2016 in our hospiLal,Lhe use raLe of anLibioLics decreased year by year,and Lhe sample LesL raLe of LherapeuLic use of anLibioLics increased year by year.
作者
刘金花
朱虹
余萍
LIU Jinhua;ZHU Hong;YU Ping(Hubei Provincial HospiLal of Traditional Chinese Medicine,Hubei Province,Wuhan 430061,China;Hubei Province Academy of TradiLional Chinese Medicine,Hubei Province,Wuhan 430074,China)
出处
《中国医药导报》
CAS
2018年第20期177-180,共4页
China Medical Herald
关键词
医院感染
现患率
调查
感染部位
抗菌药物
Nosocomial infecLion
Prevalence
InvesLigaLion
InfecLion siLes
AnLibioLics
