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目的了解精神病医院住院患者医院感染状况,分析管理中的问题,以便加强对精神病医院感染管理。方法采用横断面调查方法,对武汉市某精神病医院住院患者医院感染现患率进行调查与分析。结果分别在2010-2012年某调查日,实查全部住院患者,医院感染现患率分别为1.69%、0.82%和0.26%。精神病科医院感染发病率高于非精神病科,医院感染部位以下呼吸道感染率最高,其次是胃肠道和泌尿道感染。调查日抗菌药物使用率呈逐年递减,联合使用以单联为主。结论医院感染现患率调查表明精神病专科医院院感现患率较低,但医院感染管理存在疏漏,应加强抗菌药物使用管理和提高病原学标本送检及耐药菌监测。
Objective To understand the prevalence of nosocomial infection in hospitalized patients in psychiatric hospitals and to analyze and manage the problems so as to strengthen the management of nosocomial infections in psychiatric hospitals. Methods A cross-sectional survey was conducted to investigate the prevalence of nosocomial infections in hospitalized patients in a psychiatric hospital in Wuhan. Results In a survey day from 2010 to 2012, all hospitalized patients were investigated. The prevalence rates of nosocomial infections were 1.69%, 0.82% and 0.26% respectively. The incidence of nosocomial infections in psychiatric hospitals was higher than that in non-psychiatric patients. The highest rates of respiratory infections were found following nosocomial infections, followed by gastrointestinal and urinary tract infections. On the survey day, the usage of antibacterials was decreasing year by year. Conclusion The prevalence of nosocomial infection survey shows that the prevalence of nosocomial infection in psychiatric hospitals is low, but there are some omissions in the management of nosocomial infections. The administration of antimicrobial agents should be strengthened and the etiological agents should be tested and the drug-resistant bacteria should be monitored.