论文部分内容阅读
目的了解医院感染基本情况,进一步完善医院感染监控措施。方法采用横断面调查的方法,对2010年3月23日的住院患者进行了医院感染现患率调查,并将资料进行汇总、整理、分析。结果应查住院患者807例,实查799例,实查率99.01%,发生医院感染23例,现患率为2.88%,例次感染26例次,例次感染率为3.25%;感染部位前3位依次为下呼吸道、上呼吸道、泌尿道感染,分别占53.84%、19.23%、11.54%;有380例使用抗菌药物,抗菌药物使用率为47.56%;其中治疗性使用抗菌药物231例次,占28.91%,预防性使用抗菌药物142例次,占17.77%;抗菌药物以一联用药较多207例次,占54.47%;全院治疗性细菌培养送检率为38.37%,检出病原菌9株,为肺炎克雷伯菌、链球菌属、铜绿假单胞菌等。结论加强重点科室的目标性监测,强化医务人员感染知识培训,减少侵入性操作,合理应用抗菌药物,降低医院感染发生率。
Objective To understand the basic situation of nosocomial infection and to further improve the surveillance measures for nosocomial infections. Methods The method of cross-sectional survey was used to survey the prevalence of nosocomial infections in hospitalized patients on March 23, 2010, and the data were summarized, collated and analyzed. Results 807 cases of inpatients should be examined, 799 cases were investigated, the actual examination rate was 99.01%, 23 cases of nosocomial infection occurred, the prevalence rate was 2.88%, the number of routine infections was 26 cases, and the infection rate was 3.25% Followed by lower respiratory tract, upper respiratory tract and urinary tract infection accounted for 53.84%, 19.23% and 11.54% respectively; there were 380 cases using antimicrobial agents and 47.56% antibacterials; of which 231 cases were antimicrobial agents for therapeutic use, accounting for 28.91%, 142 cases of prophylactic use of antibiotics, accounting for 17.77%; 207 cases of antibacterial drugs in a combination of more, accounting for 54.47%; hospital treatment of bacterial culture delivery rate of 38.37%, 9 strains of pathogens were detected , Klebsiella pneumoniae, Streptococcus, Pseudomonas aeruginosa and so on. Conclusion To strengthen the targeted surveillance in key departments, strengthen knowledge training of medical staff infection, reduce invasive procedures, rational use of antimicrobial agents and reduce the incidence of nosocomial infections.