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目的了解医院感染现状和特点,为临床预防医院感染提供依据。方法采用横断面调查方法,对某医院2011年10月20日所有住院患者医院感染情况进行现患率调查。结果实查662例患者中,发现医院感染病例16例、17例次,医院感染现患率为2.42%,例次感染率2.57%;医院感染高发科室为ICU、干部病房、神经内科;感染高发部位为下呼吸道;医院感染病原菌以革兰阴性菌为主,占60%;调查日抗菌药物使用率为45.77%;治疗性用药患者标本送检率为80.95%。结论 ICU等科室医院感染发生率高,应加强高发科室医院感染监测,控制危险因素。
Objective To understand the status quo and characteristics of nosocomial infections and provide evidence for clinical prevention of nosocomial infections. Methods A cross-sectional survey method was used to investigate the prevalence of nosocomial infections in all hospitalized patients on October 20, 2011 in a hospital. Results Among the 662 patients, 16 cases were found to be hospital infection, 17 cases were found, the prevalence rate of nosocomial infection was 2.42% and the incidence of nosocomial infection was 2.57%. The nosocomial infection department was ICU, cadre ward and neurology department. For the lower respiratory tract; nosocomial pathogens to Gram-negative bacteria, accounting for 60%; survey day antibacterial drug use was 45.77%; therapeutic drug delivery rate of 80.95%. Conclusion ICU and other departments have a high incidence of nosocomial infections. Hospital infection surveillance should be strengthened to control risk factors.