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目的:了解我院的医院感染现患率。方法:采用横断面调查的方法,对2010年、2012年、2014年3年同月某日0~24小时的住院患者进行调查。以统一标准填写调查表并进行资料统计分析。结果:应调查住院患者5 239人,实际调查5218人,实查率99.60%,其中发生医院感染192例。各年现患率分别为3.06%,3.46%,4.36%,首位感染部位为下呼吸道,病原菌以G-杆菌为多,当日抗菌药物使用率分别为:41.11%、25.88%、15.97%,预防性使用占比分别为:38.1%、29.03%、26.98%,多联用药占比分别为:14.73%、6.91%、5.69%,抗菌药物使用前微生物送检率分别为:10.55%、36.69%、51.47%。结论:现患率均低于国家卫生部要求,调查当日在院患者抗菌药物使用率、预防性用药和多联使用比例下降,微生物送检率提高,自开展抗菌药物合理应用专项整治以来,我院各部门联合干预工作取得一定成效。
Objective: To understand the prevalence of nosocomial infections in our hospital. Methods: By means of cross-sectional survey, the inpatients from 0 to 24 hours on the same day of the same month in 2010, 2012 and 2014 were surveyed. Fill in the questionnaire with unified standards and conduct statistical analysis of the data. Results: 5 239 inpatients should be investigated, 5218 were actually investigated, the actual investigation rate was 99.60%, of which 192 cases were hospital infection. The prevalence rates in each year were 3.06%, 3.46% and 4.36% respectively. The first infection site was the lower respiratory tract, and the number of pathogenic bacteria was more than G-bacilli. The daily antibacterial drug use rates were 41.11%, 25.88% and 15.97% Accounting for 38.1%, 29.03% and 26.98% respectively. The rates of multi-drug use were 14.73%, 6.91% and 5.69% respectively. The rates of microbial inoculation before use of antibacterial drugs were 10.55%, 36.69% and 51.47% . Conclusion: The prevalence rates are lower than the requirements of the Ministry of Health, the day of the survey on the day of antibacterial drug use, prophylaxis and multi-use decreased, the rate of microbiological examination increased since the rational use of antimicrobial agents special rectification, our hospital All departments and departments made joint interventions and achieved some success.