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目的了解2014年医院感染现患率,对医院感染控制工作进行评价,分析影响因素,为进一步采取有效控制措施提供依据。方法采用横断面调查的方法,以专职人员、科室感染控制人员组成小组,床旁调查与查看病历相结合,对8月21日0:00~24:00住院的患者进行调查,然后对调查资料进行汇总、整理、分析并与上年现患率调查对比。结果应查2535例,实查2529例,实查率99.76%。发生医院感染63人63例次,医院感染现患率2.49%,例次感染率2.49%;感染部位以呼吸道感染居首位,占68.25%,其次是皮肤软组织、泌尿系统、手术切口,分别占12.7%、7.94%、7.94%;共分离出30株病原体,居前三位的为不动杆菌属、克雷白菌属、铜绿假单胞菌;抗菌药物使用率30.49%,治疗性使用抗生素标本送检率为49.04%。结论医院感染现患率调查加强了多部门的沟通与合作;全面了解医院感染现状,针对医院感染率较高的科室、部位进行重点监测与干预,提高对医院感染各项工作落实的自觉性,从而降低医院感染的发生率。
Objective To understand the prevalence rate of nosocomial infection in 2014, evaluate the control of nosocomial infection, analyze the influencing factors and provide the basis for further effective control measures. Methods The method of cross-sectional survey was adopted to investigate the relationship among the full-time staff, departmental infection control staff, bedside survey and medical records. The hospitalized patients from 0: 00-24: 00 on August 21 were investigated, and then the survey data Summarized, collated, analyzed and compared with the prevalence survey of the previous year. Results 2535 cases should be checked, the actual survey of 2529 cases, the actual investigation rate of 99.76%. The incidence of nosocomial infection was 63 in 63 cases, and the prevalence rate of nosocomial infection was 2.49%. The infection rate was 2.49%. The most common infection was respiratory infection, accounting for 68.25%, followed by skin and soft tissue, urinary system and surgical incision, accounting for 12.7% %, 7.94%, 7.94%. Thirty pathogens were isolated. The top three were Acinetobacter, Klebsiella and Pseudomonas aeruginosa. The antibacterials utilization rate was 30.49%. The therapeutic antibiotics The delivery rate was 49.04%. Conclusion The survey of prevalence of nosocomial infections has strengthened the communication and cooperation among various departments. The nosocomial infection status has been fully understood. Key departments and departments with high rates of nosocomial infection have been monitored and intervened so as to enhance their awareness of the implementation of various nosocomial infections. Reduce the incidence of nosocomial infections.