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目的了解医院感染现患率,分析医院感染危险因素,完善医院感染预防控制措施,降低医院感染。方法采用横断面调查的方法,对2013年10月23日住院患者进行调查与统计分析。结果调查住院患者1 276例,发现医院感染39例,医院感染现患率为3.06%;医院感染前3位的科室依次为烧伤病房16.67%、儿科病房15.39%、神经外科病房9.26%;医院感染部位前3位依次为下呼吸道、皮肤软组织、外科表浅切口,分别占34.04%、12.77%、10.64%;检出病原菌前3位依次为肺炎克雷伯菌、大肠埃希菌、鲍氏不动杆菌,分别占23.53%、17.65%、17.65%;抗菌药物使用率为32.92%,治疗性使用抗药物病原学送检率为41.82%。结论加强医院感染部位及抗菌药物使用管理,减少侵入性操作是控制医院感染的重要措施。
Objective To understand the prevalence rate of nosocomial infection, analyze the risk factors of nosocomial infection, improve the prevention and control measures of nosocomial infection and reduce the nosocomial infection. Methods The method of cross-sectional survey was used to investigate and analyze the inpatients on October 23, 2013. Results There were 1 276 hospitalized patients and 39 cases were found hospital infection, the prevalence rate was 3.06%. The first three departments were 16.67% in burn ward, 15.39% in pediatric ward and 9.26% in neurosurgical ward. The hospital infection site The first three followed by the lower respiratory tract, skin and soft tissue, surgical superficial incision, accounting for 34.04%, 12.77%, 10.64% respectively; the first three pathogenic bacteria were Klebsiella pneumoniae, Escherichia coli, Bacilli accounted for 23.53%, 17.65% and 17.65%, respectively. The antibacterial drug use rate was 32.92%. The therapeutic use of anti-drug etiology rate was 41.82%. Conclusion It is an important measure to control nosocomial infection by strengthening the management of nosocomial infections and antimicrobial use and reducing invasive procedures.