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目的:了解郴州市儿童医院感染现状,为制定感染防控措施提供科学依据。方法:采用横断面调查方法,对2015年5月13日住院患儿进行医院感染现患率调查。结果:调查565例,实查率100%,发现医院感染28例,感染率4.96%,40例次感染,例次感染率7.08%;调查当天例次感染率居首位的科室是NICU(34.38%);感染部位居第一位是呼吸系统(77.50%);抗菌药物使用率39.29%;治疗用药送检率88.74%;检出病原菌多为G-菌;泌尿道插管、动静脉置管、呼吸机使用等高危因素感染率之间差异有统计学意义(P<0.05)。结论:应加强高危科室的目标监测,加大社区感染的管理力度,保护易感人群,提高病原学诊断意识,以不断降低医院感染率。
Objective: To understand the status quo of Chenzhou Children’s Hospital infection and provide a scientific basis for the establishment of infection prevention and control measures. Methods: The cross-sectional survey method was used to investigate the prevalence rate of nosocomial infection in hospitalized children on May 13, Results: 565 cases were investigated, the actual examination rate was 100%, 28 cases were found nosocomial infection, the infection rate was 4.96%, the infection rate was 40% and the infection rate was 7.08%. The department with the highest infection rate on the day of investigation was NICU (34.38 %). The first infection site was the respiratory system (77.50%), the antibacterial drug usage rate was 39.29%, the cure drug delivery rate was 88.74%. Most of the pathogenic bacteria were G-bacteria. The urinary catheter, arteriovenous vein The infection rates of high risk factors such as tube and ventilator were significantly different (P <0.05). Conclusion: Objective surveillance of high-risk departments should be strengthened to intensify the management of community infections, protect the susceptible population and raise awareness of pathogenic diagnosis so as to reduce the rate of nosocomial infections.