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目的准确了解住院患者医院感染现状及抗菌药物使用情况,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。方法采用床旁调查和病历调查相结合的方法,填写医院感染个案调查表,然后进行资料汇总及整理分析。结果 2011年上半年度调查病例643例,医院感染病例45例,医院感染率7.00%,感染部位以下呼吸道和泌尿道为主,分别占71.74%和26.09%。抗菌药物使用率达38.95%,以一联用药和二联用药为主,分别占60.25%和38.93%。抗菌药物病原学送检率为37.78%。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,加强手卫生,合理使用抗生素,减少耐药菌株产生,有效控制医院感染的发生。
Objective To understand accurately the present situation of nosocomial infection and the use of antibacterials in hospitalized patients, and based on which, to further develop practical nosocomial infection control measures and improve the level of nosocomial infection management. Methods The method of combination of bedside investigation and medical record investigation was used to fill in the questionnaire of nosocomial infection cases and then the data were summarized and analyzed. Results In the first half of 2011, a total of 643 cases were investigated, 45 were hospital-acquired infections and 7.00% were hospital-acquired infections. The main respiratory and urinary tracts were below the site of infection, accounting for 71.74% and 26.09% respectively. Antibiotics use rate reached 38.95%, with a combination of drugs and two drug-based, accounting for 60.25% and 38.93%. Antibiotics etiology sentinel rate was 37.78%. Conclusions The hospital infection management office should be strengthened to raise awareness of infection control among medical staff, strengthen hand hygiene, use antibiotics rationally, reduce the generation of resistant strains and effectively control the occurrence of nosocomial infections.