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目的了解医院住院患者医院感染现状,为改进医院感染监控措施提供依据。方法采用横断面调查方法,对某医院2010年10月14日所有住院者进患者进行了24 h医院感染现患率调查与分析。结果该医院调查当日共有住院患者818例,发生医院感染25例、29例次,医院感染率为3.06%、例次感染率为3.55%。医院感染主要部位为皮肤软组织,例次感染率构成比为34.5%,呼吸道例次感染率构成比为37.9%;医院感染高发科室为外科重症监护室。住院患者抗菌药物使用率为45.72%,以外科住院患者使用率最高,为53.80%。结论现患率调查结果比较接近实际,该医院住院患者医院感染率较低,皮肤软组织感染率较高,其原因值得探讨。
Objective To understand the status of nosocomial inpatients with nosocomial infection and provide evidence for improving the surveillance measures of nosocomial infections. Methods A cross-sectional survey method was used to survey and analyze the prevalence of nosocomial infection in hospital after 24 h in all hospitalized patients on October 14, 2010 in a hospital. Results A total of 818 hospitalized patients were hospitalized on the day of the hospital investigation. Twenty-five nosocomial infections occurred in 29 patients. The nosocomial infection rate was 3.06% and the nosocomial infection rate was 3.55%. The main site of nosocomial infection was skin and soft tissue. The infection rate of cases was 34.5% and the respiratory infection rate was 37.9%. The high incidence of nosocomial infection was surgical intensive care unit. Inpatient antibacterial drug use rate was 45.72%, the highest utilization rate of surgical inpatients was 53.80%. Conclusion The prevalence rate of the survey results closer to reality, the hospital inpatient hospital infection rate is low, the higher the rate of skin and soft tissue infections, the reason worth exploring.