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目的分析住院患者医院感染发生的现状,为明确医院感染预防与控制重点,进一步制定切实可行的医院感染预防与控制措施提供依据。方法由医院感染管理专职人员和经统一培训的各临床科室医院感染管理控制人员组成的调查小组,采用横断面调查方法,床旁调查与病历查看相结合,填写统一的个案调查表,最后对调查数据进行统计分析。结果实查率98.26%,医院感染现患率5.21%,感染部位以下呼吸道为主,占38.46%,其次是上呼吸道,占19.23%;现患率最高的科室是ICU,为83.33%;抗菌药物使用率为59.8%,病原菌送检率为20.33%。结论医院感染现患率调查快速有效、资料准确,能在较短时间内全面掌握医院感染现状,及时发现医院感染管理的薄弱环节及存在问题,针对性地加大对医院感染诊断水平、病原菌送检率、抗菌药物使用进行管理,有效预防与控制医院感染的发生。
Objective To analyze the current status of nosocomial infection in hospitalized patients and to provide a basis for furthering the prevention and control of nosocomial infections in order to clarify the focus of hospital infection prevention and control. Methods A survey team composed of full-time hospital infection management staff and hospitalized infection control and control staff of all clinical departments under unified training was surveyed. The cross-sectional survey method, bedside survey and medical record review were combined to fill in the unified case questionnaire. Finally, Data for statistical analysis. Results The investigation rate was 98.26%. The prevalence rate of hospital infection was 5.21%. The main respiratory tract was 38.46%, followed by the upper respiratory tract, accounting for 19.23%. The prevalence rate of ICU was 83.33%. The rate of antibiotics 59.8%, the pathogen delivery rate was 20.33%. Conclusion The survey of prevalence rate of nosocomial infection is quick and effective, the data is accurate, the status of nosocomial infection can be fully mastered in a short period of time, the weak links and problems in nosocomial infection management can be found in time, the diagnostic level of nosocomial infection can be increased, Rate, the use of antibacterial drugs to manage, effectively prevent and control the occurrence of nosocomial infections.