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目的了解四川大学华西第四医院医院感染的基本情况,为医院感染管理工作提供科学依据。方法 2013-10-11采取床旁调查和查看病历相结合的方法,调查1 d内所有住院患者医院感染情况和抗生素使用情况。结果共调查286例住院患者,医院感染现患率为1.05%;发生医院感染的科室是肿瘤科和姑息科关怀科;医院感染的主要部位是呼吸道,主要病原体是真菌、肺炎克雷伯菌、鲍曼不动杆菌等致病菌;抗生素使用率为32.17%,送检率为73.91%;治疗用药占90.22%,预防用药占1.09%,治疗+预防占8.70%,单用药占88.04%,二联用药占10.87%,≥三联用药占1.09%。结论通过医院感染现患率调查,将加强对肿瘤科和姑息关怀科的监控,严格落实呼吸道感染的预防控制措施,并强调抗菌药物的合理应用,降低医院感染的发生。
Objective To understand the basic situation of Nosocomial Infection in the Fourth West China Hospital of Sichuan University and provide a scientific basis for the management of hospital infection. Methods 2013-10-11 Adopting a combination of bedside survey and medical records to investigate the hospital infection and antibiotic use in all inpatients within 1 day. Results A total of 286 hospitalized patients were investigated. The prevalence rate of hospital infection was 1.05%. The departments of nosocomial infection were oncology department and palliative care department. The main part of nosocomial infection was respiratory tract. The main pathogens were fungi, Klebsiella pneumoniae, MenAcobacterium and other pathogenic bacteria; antibiotic use rate was 32.17%, the delivery rate was 73.91%; treatment medication accounted for 90.22%, prophylaxis medication accounted for 1.09%, treatment + prevention accounted for 8.70%, single drug accounted for 88.04% Medication accounted for 10.87%, ≥ triple drug accounted for 1.09%. Conclusion The survey of prevalence of nosocomial infections will strengthen the surveillance of oncology and palliative care departments, strictly implement the prevention and control measures of respiratory tract infections, emphasize the rational use of antimicrobial agents and reduce the occurrence of nosocomial infections.