论文部分内容阅读
目的了解绵阳市人民医院医院感染现患率,评价医院感染日常监测资料的可靠性和正确性,针对问题制定控制措施,为医院感染管理积累经验。方法采用横断面调查方法,对2011年6月22日所有住院患者进行医院感染现患率调查,填写统一的调查表,并对调查日处于医院感染状态的病例进行统计分析,且与日常综合监测对比。结果应查519例,实查515例,实查率99.23%,发生医院感染22例、24例次,现患率4.27%、例次感染率4.60%;医院感染最高的科室为综合ICU,感染率为40.00%,其次为神经外科,感染率为12.5%;感染部位以下呼吸道为主,占29.16%,其次为皮肤软组织和泌尿道感染,均占16.67%;共调查22例医院感染患者中检出病原菌16株,依次为铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌、表皮葡萄球菌、鲍氏不动杆菌、肺炎克雷伯菌,分别占25.00%、18.75%、18.75%、12.50%、12.50%、12.50%;日抗菌药物使用率57.48%,治疗用抗菌药物占56.76%,一联使用占59.80%。结论全面综合性监测易存在漏报现象,临床医师对医院感染监测与报告的意识有待提高;针对医院感染率较高的科室、部位进行重点监测与干预,提高治疗用药标本的送检率,加强对手术科室预防用药的管理。
Objective To understand the prevalence of nosocomial infection in Mianyang People ’s Hospital, evaluate the reliability and correctness of daily monitoring data of nosocomial infection, develop control measures according to the problems, and accumulate experience for nosocomial infection management. Methods The cross-sectional survey method was used to survey the prevalence of nosocomial infections in all inpatients on June 22, 2011, fill in a unified questionnaire and make statistical analysis on the cases of nosocomial infections on the investigation day, and compared with the routine comprehensive monitoring . The results should check 519 cases, the actual investigation of 515 cases, the investigation rate of 99.23%, nosocomial infection in 22 cases, 24 cases, the prevalence rate of 4.27%, the case of infection rate 4.60%; hospital infection highest ICU, infection rate (40%), followed by neurosurgery, the infection rate was 12.5%. The main respiratory tract was 29.16%, followed by skin and soft tissue and urinary tract infection, both accounting for 16.67%. A total of 22 cases of nosocomial infections were detected 16 strains were pathogenic bacteria, which were Pseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus, Staphylococcus epidermidis, Acinetobacter baumannii and Klebsiella pneumoniae, accounting for 25.00%, 18.75%, 18.75%, 12.50% %, 12.50% and 12.50% respectively. The daily antibacterial drug usage rate was 57.48%, the therapeutic antibacterial drug usage rate was 56.76%, and the combined usage was 59.80%. Conclusion There is a tendency of omission in comprehensive and comprehensive monitoring, clinicians’ awareness of monitoring and reporting of nosocomial infections needs to be improved. Key departments and departments with high rates of nosocomial infection should be monitored and intervened so as to enhance the rate of submission and treatment of medical specimens Prevention of surgery department management.