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目的为了解某三级综合医院医院感染现患率的基本情况,并与四川省的现患率调查数据进行比较,为进一步寻找该院医院感染危险因素提供理论依据。方法按照《医院感染监测规范》相关要求对某三级综合医院2011年9月21日00∶00-24∶00的住院患者进行医院感染现患率调查。结果调查住院患者626例,医院感染现患率为5.13、例次感染率为5.93%,手术切口感染率为24.32%,抗菌药物的使用率为39.32%,治疗用抗菌药物患者的病原微生物标本送检率56.59%,该组数据与四川省同期调查数据比较,该院的现患率、手术切口感染率明显高于全省平均水平,抗菌药物的使用率低于全省平均水平,病原微生物标本送检率高于全省平均水平。结论医务人员遵守《手术切口医院感染的预防和控制技术指南》,落实手卫生、严格无菌技术操作可降低手术切口感染率;提高送检率、合理使用抗菌药物应常抓不懈。
Objective To understand the basic situation of prevalence of nosocomial infection in a tertiary general hospital and compare it with the prevalence rate in Sichuan Province to provide theoretical basis for further searching for nosocomial infection risk factors in this hospital. Methods In accordance with the relevant requirements of “nosocomial infection monitoring norms” to a tertiary general hospital on September 21, 2011 00:00 - 24: 00hospitalization rate of hospital infection prevalence survey. Results A total of 626 inpatients were investigated. The prevalence of nosocomial infections was 5.13. The infection rate was 5.93%. The incision infection rate was 24.32%. The antimicrobial use rate was 39.32% Rate of 56.59%, the data in this group compared with the same period in Sichuan Province survey data, the hospital’s prevalence rate, surgical incision infection was significantly higher than the provincial average, the use of antibacterials lower than the provincial average, pathogenic microorganism specimens for inspection Rate higher than the provincial average. Conclusion The medical staff obey the “Guideline for prevention and control of surgical incision nosocomial infection”, implement hand hygiene and strict aseptic techniques to reduce the incision infection rate; improve the delivery rate and rational use of antimicrobial drugs.