论文部分内容阅读
目的了解武汉地区院内感染与社区感染现状及抗菌药物使用情况。方法采用床旁调查和病历调查相结合的方法对所有住院患者进行调查。结果参加调查的医院共35所,应调查住院患者23 768例,实查23 441例,实查率为98.62%;发现院内感染791例、829例次,现患率和例次感染率分别为3.37%和3.54%;发现社区感染4770例、5045例次,现患率和例次感染率分别为20.35%和21.52%;院内感染和社区感染的部位均以呼吸道居首位,分别占63.21%和62.49%;院内感染的病原菌以革兰阴性菌为主,占65.96%;社区感染的病原菌以革兰阳性菌为主,占49.15%;抗菌药物使用率为27.54%。结论在临床工作中加强感染患者的病原学送检,规范抗菌药物的合理使用,以降低医院感染的发生。
Objective To understand the status of nosocomial infections and community infections in Wuhan and the use of antibacterials. Methods A combination of bedside and medical records was used to investigate all inpatients. Results A total of 35 hospitals were surveyed. Among them, 23 768 inpatients should be investigated, 23 441 cases were investigated and the actual investigation rate was 98.62%. 791 cases and 829 cases of nosocomial infections were found, the prevalence and the number of cases were 3.37 % And 3.54% respectively. The number of community-acquired infections and community-acquired infections were the highest in the respiratory tract, accounting for 63.21% and 62.49%, respectively, of 4770 cases and 5045 cases of community-acquired infections, with prevalences of 20.35% and 21.52% %. The main pathogens of nosocomial infection were Gram-negative bacteria, accounting for 65.96%. Gram-positive bacteria were the main pathogens of community infection, accounting for 49.15%. The antibacterial usage rate was 27.54%. Conclusion In clinical work to enhance the etiological examination of infected patients, regulate the rational use of antimicrobial agents to reduce the incidence of nosocomial infections.