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目的了解住院患者医院感染的来源、感染部位及抗菌药物使用状况,为提高医院感染管理技术水平提供科学依据。方法资料收集以床旁询问和体检的方式进行,并与住院病历调查相结合。结果当天医院感染现患率为2.4%;感染部位依次是下呼吸道、泌尿道和上呼吸道;抗菌药物当天使用率为40.3%,其中用于预防使用抗菌药物使用率为48.3%;药物使用例次处于前3位的依次是青霉素类、头孢菌素类与氨基糖苷类;抗菌药物联合用药科室分布中,二联用药最高的是神经内科,比例高达66.7%;在感染患者病原菌送检率达到67.2%,但在用药前送检率仅有53.1%。结论住院患者感染的来源、现患率、抗菌药物使用率等可基本反映医院感染真实情况;强化医院感染科管理职能,加强用药前标本送检率;同时注重抗菌药物的合理使用,提高用药的科学性。
Objective To understand the source of nosocomial infection, the location of infection and the use of antimicrobials in hospitalized patients, and provide scientific basis for improving the technical level of nosocomial infection management. Methods Data collection was conducted in the form of bedside consultation and physical examination, and was combined with in-hospital medical records. Results The prevalence rate of nosocomial infection was 2.4% on the same day. The infection sites were lower respiratory tract, urinary tract and upper respiratory tract in turn. The daily use rate of antibacterials was 40.3%, of which 48.3% was used for prophylactic use of antibacterials. The first three followed by penicillins, cephalosporins and aminoglycosides; antibacterial drugs in the department of drug distribution, the highest use of two drugs is neurology, the highest proportion of 66.7%; infected patients pathogen detection rate of 67.2% , But before the medication delivery rate was only 53.1%. Conclusions The source of inpatient infection, prevalence rate, antibacterial drug usage rate and so on can basically reflect the real situation of nosocomial infection; strengthen the management function of nosocomial infection department and strengthen the rate of pre-drug delivery rate; at the same time, pay attention to the rational use of antimicrobial drugs and improve the science of medication Sex.