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目的了解住院患者医院感染现况,以便提高医院感染管理水平。方法采用横断面调查的方法,于2011、2012和2013年选择每年11月某日对广西民族医院住院患者医院感染发生率和相关指标进行了调查。结果2011-2013年各年调查当日住院患者医院感染现患率分别为3.86%、4.46%和4.03%,差异无统计学意义(P>0.05);抗菌药物使用率分别为42.63%、35.52%和31.05%。感染部位以下呼吸道感染和泌尿道感染居前2位。高龄患者、长期住院、各种插管留置等侵入性操作为医院感染的危险因素。结论该医院连续3年住院患者医院感染现患率无显著变化,该医院感染管理工作应抓薄弱环节。
Objective To understand the status of nosocomial infections in hospitalized patients in order to improve the management of nosocomial infections. Methods The cross-sectional survey method was used to investigate the prevalence and related indicators of nosocomial infection in hospitalized patients in Guangxi Ethnic Minority Hospital in 2011, 2012 and 2013 respectively. Results The prevalence rates of nosocomial infections in inpatients were 3.86%, 4.46% and 4.03% respectively on the surveyed days from 2011 to 2013 (P> 0.05). The rates of antibacterials use were 42.63%, 35.52% and 31.05 %. Infections following the upper respiratory tract infection and urinary tract infection. Elderly patients, long-term hospitalization, various intubation and other invasive operations for the risk of nosocomial infection. Conclusion There is no significant change in the prevalence of nosocomial infections in the hospital for three consecutive years. The hospital infection management should pay attention to the weak link.