论文部分内容阅读
目的了解医院住院患者医院感染现患率情况,为制定医院感染的预防控制措施提供依据。方法采用横断面调查方法,对某医院2013年8月15日24 h内住院患者医院感染现状进行调查。结果调查当日实查住院患者1 582例,发生医院感染患者352例、369例次,医院感染现患率为22.25%、例次现患率为23.32%。其中医院内获得感染41例、48例次,感染现患率2.59%,例次现患率2.97%;发生社区感染311例、321例次,社区感染现患率19.66%、例次现患率20.29%。感染部位均以下呼吸道为主,病原菌以革兰阴性菌为主。调查日抗菌药物使用率44.50%,治疗用药患者病原学送检率26.37%,病原菌检出阳性率为33.33%。结论该医院的医院感染现患率较低,主要来自社区感染较多,住院患者标本送检率有待提高。
Objective To understand the prevalence of nosocomial infections in hospitalized patients and provide evidence for the establishment of nosocomial infection prevention and control measures. Methods A cross-sectional survey was conducted to investigate the prevalence of nosocomial infections in hospital in a hospital within 24 hours on August 15, 2013. Results On the day of investigation, 1 582 inpatients were investigated. There were 352 hospitalized cases with 369 cases, the prevalence rate of nosocomial infection was 22.25%, and the prevalence rate was 23.32%. Among them, 41 were admitted to the hospital, 48 were infected, the prevalence rate was 2.59%, and the prevalence rate was 2.97%. The incidence of community infection was 311 cases and 321 cases. The prevalence rate of community infection was 19.66% and the incidence rate was 20.29%. The main respiratory tract infections are below, the main pathogenic bacteria to Gram-negative bacteria. On the survey day, the usage rate of antimicrobial drugs was 44.50%. The etiological rate of 26.37% in patients receiving treatment and the positive rate of pathogens was 33.33%. Conclusion The prevalence of nosocomial infections in this hospital is relatively low, mainly due to more community infections and higher rates of inpatient samples.