论文部分内容阅读
[目的]了解某综合性三级乙等医院感染的分布特点,为进一步预防和控制医院感染提供科学依据。[方法]采用床旁调查和查阅病历相结合的方法,对该医院2010年11月10日所有住院病人进行医院感染现患率调查。[结果]医院感染现患率为4.84%,例次感染率为5.06%,其中以神经内科(12.50%)最高;感染部位以下呼吸道居首位(54.35%);抗菌素使用率为55.89%,其中以治疗用药为主(67.91%),联合用药以一联为主(77.36%);医院感染的病原体主要以革兰阴性菌为主,细菌学送检164例,检出菌株23例。[结论]该院医院感染率与全国水平一致,但常规监测存在漏报现象,应加强对高危科室及高发感染部位的监测,进一步规范抗菌药物的使用,提高病原学送检率。
[Objective] To understand the distribution characteristics of a comprehensive tertiary grade B hospital infection and provide a scientific basis for further prevention and control of nosocomial infections. [Methods] By using the combination of bedside investigation and medical record review, the prevalence rate of nosocomial infection among all the inpatients on Nov. 10, 2010 was investigated. [Results] The prevalence rate of nosocomial infection was 4.84%, and the infection rate was 5.06%. Among them, neurology (12.50%) was the highest, and the respiratory tract below the infection site was the highest (54.35%). The antibiotic use rate was 55.89% The treatment was predominant (67.91%), and the combined treatment was mainly associated with one (77.36%). The main pathogens of nosocomial infection were gram-negative bacteria, 164 cases were bacteriological examination, and 23 strains were detected. [Conclusion] The prevalence of nosocomial infection in this hospital is consistent with that of the whole country. However, omissions in routine surveillance exist. Monitoring of high-risk departments and sites with high incidence of infection should be strengthened to further standardize the use of antimicrobial agents and increase the rate of etiological examination.