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目的了解住院患者医院感染的基本情况及抗菌药物的使用情况,并以此为依据,进一步制定切实可行的医院感染控制措施,提高医院感染管理水平。方法采用病历调查与床旁调查相结合的方法,填写现患率个案调查表,然后进行资料汇总及整理分析。结果医院感染现患率为3.90%,感染部位以下呼吸道和泌尿道为主,分别占50.00%和30.00%,当日抗菌药物使用率为36.58%,以一联用药和二联用药为主,分别占56.56%、38.93%;治疗性使用抗菌药物病原学送检率为46.08%,医院感染病例病原学送检率为61.54%;手术患者术前应用抗菌药物者占60.34%。结论强化医院感染管理办公室职能,提高医务人员感染控制意识,合理使用抗菌药物,可以有效控制医院感染的发生。
Objective To understand the basic situation of nosocomial infection in hospitalized patients and the use of antimicrobial agents, and to further develop practical hospital infection control measures to improve the level of nosocomial infection management. Methods A combination of medical records and bedside surveys was used to fill out the questionnaire of prevalence rate and then to collect and analyze the data. Results The prevalence rate of nosocomial infection was 3.90%. The main respiratory tract and urinary tract were below 50.0% and 30.00% respectively. The antibacterial drug use rate was 36.58% on the day, which was mainly combined with one drug and two drugs, accounting for 56.56 %, And 38.93% respectively. The etiological rate of antibiotics was 46.08%. The etiological rate of nosocomial infections was 61.54%. The preoperative antibiotics accounted for 60.34%. Conclusions Strengthen the hospital infection management office functions, improve medical staff awareness of infection control, rational use of antimicrobial agents, can effectively control the occurrence of nosocomial infections.