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目的了解宝山区不同级别医院住院病人医院感染现患情况,以便加强医院感染管理。方法采用横断面调查方法,对全区19所不同级别医院2008年10月21日0至24点期间收治住院病人医院感染发病率进行了普查。结果19所医院当日住院4037例病人,实际调查4035例,实查率为99.95%;当日共发生医院感染136例、140例次,现患率为3.37%、例次现患率为3.47%。一、二、三级医院感染现患率依次为3.91%、3.79%和1.19%;专科医院为4.15%。医院感染现患主要集中在ICU和内科病房,以呼吸系统感染为主。医院感染主要由革兰阴性杆菌引起。抗菌药物使用率为28.77%。结论本辖区内不同级别医院院内感染现患率低于国内平均水平,医院级别越低感染率越高。
Objective To understand the prevalence of nosocomial infections among inpatients in different levels of hospitals in Baoshan District in order to strengthen the management of nosocomial infections. Methods The cross-sectional survey method was used to survey the incidence of nosocomial infections among 19 different hospitals in the district from October 24 to October 24, 2008. Results 19 hospitals were hospitalized 4037 patients on the day, the actual survey 4035 cases, the actual investigation rate was 99.95%; the same day a total of 136 cases of hospital infection, 140 cases, the prevalence was 3.37%, the prevalence was 3.47%. The prevalence rates of one, two and three levels of hospital infection were 3.91%, 3.79% and 1.19% respectively, while those in special hospitals were 4.15%. The prevalence of nosocomial infections are mainly concentrated in the ICU and medical wards, mainly respiratory infections. Nosocomial infections are mainly caused by Gram-negative bacilli. Antimicrobial usage was 28.77%. Conclusion The prevalence of nosocomial infections in different levels of hospitals in this area is lower than the national average, and the lower the hospital level, the higher the infection rate.