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目的了解2010-2012年医院感染发生及动态变化、医院感染发生的易感因素、病原学及抗菌药物使用状况,为进一步制定有效的预防控制措施提供科学依据。方法采用横断面调查方法,以医院感染管理专职人员、科室感染兼职监控人员组成小组,采用床旁调查和病例调查相结合的方法,对2010年5月17日、2011年7月4日及2012年7月2日所有住院6 597例患者进行调查,采用SPSS17.0进行统计分析。结果 3次调查应查住院患者6 597例,实查6537例,实查率99.09%;医院感染254例、274例次,医院感染现患率3.85%、例次感染率4.15%,感染部位以下呼吸道为主占31.02%;日抗菌药物使用率平均为16.41%,呈逐年下降趋势。结论通过医院感染现患率调查,全面了解医院感染的现状,针对监测存在的问题,制定干预措施,降低医院感染发病率。
Objective To understand the occurrence and dynamic changes of nosocomial infections from 2010 to 2012, the susceptible factors of nosocomial infections, the use of etiological agents and antibacterials, and provide a scientific basis for further effective prevention and control measures. Methods The method of cross-sectional survey was used to make up a group of full-time hospital infection management personnel and part-time supervisory staff who were infected by the hospital. The method of combination of bedside investigation and case investigation was used to evaluate the effectiveness of the questionnaire on May 17, July 4, 2011 and July 4, July 2, all hospitalized 6 597 patients were investigated using SPSS17.0 for statistical analysis. Results Among the 3 surveys, 6 597 hospitalized patients were investigated, 6537 cases were investigated, the actual examination rate was 99.09%, 254 cases were hospital infection, 274 cases were hospitalized, the prevalence rate of hospital infection was 3.85%, and the infection rate was 4.15%. The lower respiratory tract Accounting for 31.02%; the average daily use of antibacterials was 16.41%, showing a declining trend year by year. Conclusion Through the investigation of prevalence rate of nosocomial infection, we can get a comprehensive understanding of the current status of nosocomial infection. To monitor the existing problems and make interventions to reduce the incidence of nosocomial infections.