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目的了解医院感染现状、抗菌药物使用情况及重要病原菌检出率,为提高医院感染管理水平提供科学依据。方法采用横断面调查方法,床旁调查和病历调查相结合,填写统一的个案调查表并对调查日处于医院感染状态的病例进行统计分析。结果调查住院患者593例,医院感染现患率3.88%(23例)、例次现患率4.38%(26例),感染部位以下呼吸道感染(65.38%)为主,其次为泌尿道和表浅切口,感染率均为11.54%;分离出病原菌17株,以革兰阴性杆菌为主;日抗菌药物使用率为63.07%。结论加强重点科室医院感染管理,降低呼吸道感染,合理使用抗菌药物,才能降低医院感染发生率。
Objective To understand the current status of nosocomial infections, the use of antimicrobial agents and the detection rate of important pathogenic bacteria to provide a scientific basis for improving the management of nosocomial infections. Methods The method of cross-sectional survey, bedside survey and medical records were combined to fill in a unified case questionnaire and make statistical analysis on the cases of nosocomial infection on the survey day. Results 593 inpatients were hospitalized, the prevalence rate of hospital infection was 3.88% (23 cases), the prevalence rate was 4.38% (26 cases), respiratory tract infection (65.38%) was the main infection, followed by urinary tract and superficial incision, The infection rate was 11.54%. 17 pathogenic bacteria were isolated, mainly Gram-negative bacilli. The daily antibacterial drug use rate was 63.07%. Conclusion In order to reduce the incidence of nosocomial infections, it is necessary to strengthen the management of nosocomial infections in key departments, reduce respiratory infections and use antimicrobials rationally.