论文部分内容阅读
目的全面、准确的了解医院感染实际情况,提高感染控制意识,为预防和控制医院感染提供科学依据。方法用床旁和病历相结合的横断面调查方法,对某院住院患者进行医院感染现患率调查。结果本次调查应查住院患者2135例,实际调查2120例,实查率为99.3%。医院感染现患率为1.93%,感染部位以下呼吸道感染为主,占46.3%,其次为泌尿系感染占14.6%。抗生素使用率为41%,其中治疗性使用率55.3%,预防性使用率占31.6%,治疗+预防占13%。细菌培养送检率为10.9%。结论医院感染现患率调查快速、有效,能够为有效开展医院感染目标性监测提供依据。重点监测医院感染高发科室,加强临床标本送检,规范抗菌药物合理使用,从而有效预防和控制医院感染。
Objective To comprehensively and accurately understand the actual situation of nosocomial infection, raise awareness of infection control and provide a scientific basis for the prevention and control of nosocomial infections. Methods A cross-sectional study combining bedside and medical records was used to investigate the prevalence of nosocomial infections in hospitalized patients in a hospital. Results The survey should check 2135 cases of hospitalized patients, the actual survey of 2120 cases, the actual examination rate was 99.3%. The prevalence rate of nosocomial infection was 1.93%, the main respiratory tract infection was below the infection site, accounting for 46.3%, followed by urinary tract infection accounting for 14.6%. The rate of antibiotic use was 41%, of which 55.3% were for therapeutic use, 31.6% for preventative use and 13% for treatment and prevention. Bacteria culture delivery rate was 10.9%. Conclusion The survey of prevalence of nosocomial infection is quick and effective and can provide the basis for effective surveillance of nosocomial infections. Focus on monitoring high incidence of hospital infection departments, to strengthen the submission of clinical specimens to regulate the rational use of antimicrobial agents, which effectively prevent and control nosocomial infections.