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目的调查住院病人医院感染发病率及分布情况,为医院感染管理工作提供依据。方法通过横断面调查方法,对某医院2013年8月9日住院病人医院感染情况进行了调查。结果当日实查住院病人1 541例,查出医院感染病例85例、87例次,医院感染现患率为5.52%、例次感染率5.65%。医院获得感染患者主要分布于血液内科二病区和肿瘤内科。医院感染部位主要为下呼吸道,占68.97%。医院感染病原菌以革兰阴性菌为主,检出率居前五位菌种是铜绿假单胞菌、肺炎克雷伯菌、鲍曼不动杆菌、大肠埃希菌、金黄色葡萄球菌。调查当日抗菌药物使用率为34.65%,治疗用药患者病原学标本送检率为79.95%。结论该院医院感染率处于全国平均水平,主要发生在血液科、肿瘤内科,以下呼吸道感染为主。
Objective To investigate the prevalence and distribution of nosocomial infection in hospitalized patients and to provide basis for nosocomial infection management. Methods The cross-sectional survey method was used to investigate the hospital infection of inpatients in a hospital on August 9, 2013. Results On the day of investigation, 1 541 inpatients were confirmed. Among them, 85 cases were found in hospital, 87 cases were found, the prevalence rate was 5.52% and the infection rate was 5.65%. Hospital-acquired infections are mainly distributed in the two wards of the Department of Hematology and oncology. Nosocomial infections were mainly lower respiratory tract, accounting for 68.97%. The main pathogens of nosocomial infection were Gram-negative bacteria. The top five bacterial strains were Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, Escherichia coli and Staphylococcus aureus. The antibacterial drug utilization rate was 34.65% on the day of investigation, and the etiological rate of the drug used in the treatment was 79.95%. Conclusion The hospital infection rate in the hospital is in the national average, mainly in hematology and oncology, and the following respiratory infections are the most common.