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目的了解医院感染现患情况和存在的问题,为制定防控措施提供科学依据。方法采取床边调查和住院病历调查相结合方式,对某医院2012年7月2日的住院患者医院感染情况进行调查。结果调查当日实查住院患者1 779例,医院感染现患率为2.64%,例次感染率为2.92%。日抗菌药物使用率为43.19%,使用抗菌药物种类达45种。医院感染患者主要来自综合重症监护病房,下呼吸道感染占主导。结论该医院住院患者医院感染在有效控制范围内,抗菌药物使用率符合相关管理要求,重症监护病房下呼吸道感染是重点控制对象。
Objective To understand the prevalence and existing problems of nosocomial infection and provide a scientific basis for making prevention and control measures. Methods A combination of bedside survey and in-patient medical records was used to investigate the hospital infection of hospitalized patients on July 2, 2012 in a hospital. Results A total of 1 779 hospitalized patients were investigated on the day of investigation. The prevalence rate of hospital infection was 2.64%. The infection rate was 2.92%. The daily antibacterial drug use rate was 43.19%, the use of antibacterial drugs up to 45 species. Patients with nosocomial infections are mainly from the ICU, with lower respiratory tract infections predominant. Conclusions The nosocomial infection rate of hospitalized patients in this hospital is within the effective control range. The usage rate of antimicrobial drugs conforms to the relevant management requirements. The lower respiratory tract infection in intensive care unit is the key control target.