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目的:了解2013年我院医院感染现状,为进一步做好我院预防与控制医院感染的管理工作提供科学的依据。方法:采用现患率调查的方法,对我院2013年住院患者进行医院感染现患率调查。结果:调查住院患者1206例,发生医院感染病例16例,当天医院感染现患率为1.57%。感染部位前三位的分别是下呼吸道占43.75%、上呼吸道和表浅切口各占18.75%、腹腔占12.50%;抗菌药物使用率为34.51%,治疗用药占66.67%,预防用药占22.76%,治疗+预防用药占10.57%。结论:对感染高发科室,需重点监控,应加强环境的清洁、消毒;严格无菌技术操作规范;提高医务人员洗手率、加强抗菌药物的管理等防控措施。
OBJECTIVE: To understand the status of nosocomial infection in our hospital in 2013 and provide a scientific basis for further improving the management of nosocomial infections in our hospital. Methods: The current prevalence rate survey method was used to investigate the prevalence rate of nosocomial infections in our hospital in 2013. Results: A total of 1206 inpatients were investigated and 16 cases of nosocomial infections occurred. The prevalence of nosocomial infections was 1.57% on the same day. The top three of the infected sites were lower respiratory tract accounted for 43.75%, upper respiratory tract and superficial incision accounted for 18.75%, abdominal cavity accounted for 12.50%; antibacterial drug usage was 34.51%, the treatment of medication accounted for 66.67%, prophylaxis accounted for 22.76% Treatment + prophylaxis accounted for 10.57%. Conclusion: Infection-prone departments, need to focus on monitoring, should strengthen the environment clean, disinfection; strict aseptic technique and technical specifications; improve medical staff rate of wash, strengthen the anti-bacterial drug management and other prevention and control measures.