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目的了解医院感染现状、抗菌药物使用及医院感染管理中存在的问题,为进一步提高医院感染监控措施提供科学依据。方法采用床旁调查与住院病历调查相结合的方法。结果调查的929例住院患者中,医院感染现患率为3.44%;其中以呼吸内科感染率最高;医院感染高发部位主要为下呼吸道占40.00%、其次是泌尿道占22.86%、上呼吸道占8.57%;分离出的病原菌以革兰阴性杆菌为主,占59.07%,常见病原菌为大肠埃希菌、铜绿假单胞菌、肺炎克雷伯菌、表皮葡萄球菌、鲍氏不动杆菌;调查当日抗菌药物的使用率为55.11%。结论医院感染现患率调查快速有效,资料准确,问题的切入点反映直接,能够为有效开展目标性监测提供依据。
Objective To understand the current status of nosocomial infections, the use of antimicrobial agents and the management of nosocomial infections in order to provide scientific evidence for further monitoring of nosocomial infections. Methods using bedside survey and inpatient medical records combined method. Results Of the 929 inpatients surveyed, the prevalence of nosocomial infections was 3.44%. Among them, the highest rate of respiratory infections was found. The most common nosocomial infections were mainly lower respiratory tract (40.00%), followed by urinary tract (22.86%), upper respiratory tract (8.57% ; The pathogens isolated were Gram-negative bacilli, accounting for 59.07%. The common pathogens were Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus epidermidis and Acinetobacter baumannii. The antibacterial activity on the day of the investigation Drug use rate was 55.11%. Conclusion The survey of prevalence rate of nosocomial infections is quick and effective, the data is accurate, and the entry point of the problem is directly reflected, which can provide the basis for effective target monitoring.