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目的了解住院患者医院感染现状,以便完善医院感染监控措施。方法采用横断面调查方法,分别在2009年9月2日和2010年10月19日对青州市人民医院住院患者进行了医院感染现患率调查。结果该医院2009年调查当日应调查住院患者494例,实查率98.99%,医院感染现患率为1.43%。2010年调查当日应调查住院患者514例,实查率99.81%,医院感染现患率为1.95%。2009与2010年度医院感染部位均以呼吸道感染占首位,分别为57.14%和70.00%;当日抗菌药物使用率分别为64.62%和59.65%;标本送检率分别为3.85%和15.08%。结论该医院2次调查的医院感染现患率和抗菌药物使用率均无明显差别,2010年细菌标本送检率明显提高。
Objective To understand the status of nosocomial infection in hospitalized patients in order to improve the monitoring measures of nosocomial infection. Methods The cross-sectional survey method was used to investigate the prevalence of nosocomial infection in inpatients of Qingzhou People’s Hospital on September 2, 2009 and October 19, 2010 respectively. Results The hospital in 2009 surveyed 494 inpatients should be investigated, the actual rate of 98.99%, the prevalence of hospital infection was 1.43%. On the survey day in 2010, 514 inpatients should be investigated, the actual investigation rate was 99.81% and the prevalence rate of nosocomial infection was 1.95%. The most common respiratory infections were nosocomial infections in 2009 and 2010, accounting for 57.14% and 70.00%, respectively. On the day, the rates of antibacterials utilization were 64.62% and 59.65% respectively; the rates of specimens were 3.85% and 15.08% respectively. Conclusion The prevalence of nosocomial infections and the rate of antibacterials use in the two surveys in the hospital were not significantly different. In 2010, the rate of nosocomial infections was significantly increased.