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目的了解某综合医院住院患者医院感染与社区感染现状及抗菌药物使用情况。方法采用横断面调查方法,对调查日处于感染状态的病例进行统计分析。结果共调查住院患者1335例,发现医院感染96例、101例次,现患率为7.19%、例次感染率为7.57%,发现社区感染239例、共257例次,现患率为17.90%、例次感染率为19.25%;医院感染和社区感染现患率最高的科室分别为综合ICU和儿科;医院感染与社区感染的感染部位均以呼吸道居首位;医院感染病原菌以大肠埃希菌、铜绿假单胞菌为主,社区感染病原菌以凝固酶阴性葡萄球菌、链球菌为主;调查日抗菌药物使用率为52.43%。结论通过现患率调查,明确了解医院感染和社区感染的重点科室、重点部位和重点环节。
Objective To understand the status of nosocomial and community-acquired infections in hospital and the use of antibacterials in a general hospital. Methods The method of cross-sectional survey was used to make statistical analysis on the infected cases on the survey day. Results A total of 1335 inpatients were investigated. Among 96 hospitalized cases, 101 cases were found, the prevalence was 7.19% and the infection rate was 7.57%. 239 cases were found in community with 257 cases, the prevalence was 17.90% Infection rate was 19.25%; hospital infection and community infection prevalence rates were the most comprehensive ICU and pediatric departments; hospital infection and community infection were respiratory infections in the top position; nosocomial infection pathogens with Escherichia coli, patina green Monosodium glutamate-based, community-based pathogens to coagulase-negative staphylococcus, Streptococcus; the survey day antibacterial drug use rate was 52.43%. Conclusion Through the prevalence survey, a clear understanding of the nosocomial infection and community infection in the key sections, key parts and key aspects.