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目的了解泌尿肾病医院感染现状及医院感染管理中存在的问题,为提高医院感染管理水平提供依据。方法采用横断面调查方法,对2008年10月21日和2009年10月21日的住院患者进行了二次医院感染现患率调查。结果调查住院患者692例,医院感染21例,医院感染现患率为3.03%。呼吸系统感染9例,占42.86%;泌尿道感染6例,占28.57%;血流相关性感染(导管相关性感染)3例,占14.29%;表浅切口、胃肠道和皮肤软组织感染各1例,占4.76%。当日抗菌药物使用率为70.23%,一联用药为45.47%,二联用药为46.50%,三联用药为8.03%。结论 ICU、肾内2科和泌尿3科为医院感染高发科室,加强有较严重基础疾病患者的监控或开展目标性监测,以及合理使用抗菌药物,对降低医院感染率有着重要意义。
Objective To understand the current status of nosocomial infection of urinary nephropathy and the existing problems of nosocomial infection management in order to provide basis for improving the management of nosocomial infections. Methods The cross-sectional survey method was used to investigate the prevalence of secondary hospital infection in hospitalized patients on October 21, 2008 and October 21, 2009. Results A total of 692 hospitalized patients were investigated, 21 were hospitalized and the prevalence rate was 3.03%. Respiratory infections in 9 cases, accounting for 42.86%; urinary tract infections in 6 cases, accounting for 28.57%; blood flow-related infections (catheter-related infections) in 3 cases, accounting for 14.29%; superficial incision, gastrointestinal tract and skin and soft tissue infections 1 case, accounting for 4.76%. The same day the antibacterial drug utilization rate was 70.23%, a combination of 45.47% for drugs, dual drug was 46.50%, triple drug was 8.03%. Conclusions The ICU, 2 nephrology and 3 urology departments are the high-risk departments of hospital infection. It is of great significance to strengthen the surveillance of patients with more serious underlying diseases or to carry out targeted monitoring as well as rational use of antimicrobial agents to reduce the nosocomial infection rate.