医学研究与教育 ›› 2013, Vol. 30 ›› Issue (6): 68-71.DOI: 10.3969/j.issn.1674-490X.2013.06.018

• 疾病预防与控制 • 上一篇    下一篇

住院患者医院感染现患率的调查与分析

马亚洁,张瑞红   

  1. 唐县人民医院感染管理科,河北保定,072350
  • 收稿日期:2016-10-09 修回日期:2016-10-09 出版日期:2013-12-25 发布日期:2013-12-25

Investigation on nosocomial infection prevalence rate in in-patients

MA Yajie,ZHANG Ruihong   

  • Received:2016-10-09 Revised:2016-10-09 Online:2013-12-25 Published:2013-12-25

摘要: 目的:了解医院感染现患率,分析其影响因素,为有效预防和控制医院感染提供依据。方法采用床旁调查与查阅病历相结合的方式,对2012年9月6日8:00至9月7日8:00住院患者进行感染现患率调查。结果调查患者458例,实查率96.83%,医院感染现患率为5.68%,感染部位以呼吸系统感染为首,前5位的科室依次为ICU、肿瘤科、神经外科、神经内1科、神经内2科;调查日抗生素使用率为44.76%,治疗用药占34.15%,标本送检13份,送检率18.75%。结论医院感染现患率水平符合卫生部<8%的要求,应加强临床一线工作人员病原菌送检率及药物敏感试验,合理使用抗菌药物,防治医院感染的暴发流行。

关键词: 二级医院, 医院感染, 现患率

Abstract: Objective To provide the basis for the prevention and control of nosocomial infection by knowing nosocomial infection prevalence rate and analyzing its affecting factors. Methods The patients were admitted into hospital from 8am, Sept.6 to 8pm, Sept.7 were conducted investigation on infection prevalence rate with a combination of bedside and reference to the case. Results 458 patients were investigated, the actual investigation rate was 96.83%, nosocomial infection prevalence rate was 5.68%. Respiratory infection came ifrst in the affected area. The other ifve departments were ICU, Oncology, Neurosurgery, Neurology 1, Neurology 2. The daily rate of antibiotics use were 44.76%, of which 34.15%were used for active treatment, 13 samples of the patients were examined(18.75%). Conclusion The level of nosocomial prevalence rate meets the demand of the ministry of health. Some steps should be taken to strengthen the test of rate of pathogenic bacteria and drug sensitive in clinical frontline workers , make a rational use of antimicrobial drugs, and prevent the outbreaks of nosocomial infection.

Key words: secondary hospital, insocomial infection, prevalence rate

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