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目的了解医院感染现状,分析其相关因素,提出加强医院感染管理的措施,为制定监控措施提供依据。方法采用横断面调查方法,于2009年11月24日进行医院感染现患率调查,并对资料进行统计分析。结果应查住院患者702例,实查例数为695例(99.0%),发生医院感染26例,医院感染现患率为3.74%。现患率列前3位的科室依次是ICU(50.00%)、呼吸内科(12.50%)和泌尿外科(10.53%);感染部位构成列前3位的依次是下呼吸道(53.85%)、泌尿道(19.23%)、切口(11.54%)。结论医院感染现患率调查有利于发现医院感染管理中存在的问题,为制定医院感染监控措施提供可靠依据;建立医院感染菌谱档案以指导抗菌药物的合理使用、加强病房管理、预防交叉感染的发生及加强无菌操作技术培训和消毒管理,皆是降低医院感染率的重要措施。
Objective To understand the current status of nosocomial infection and analyze its related factors. The measures to strengthen nosocomial infection management are put forward to provide the basis for making monitoring and control measures. Methods The cross-sectional survey method was used to investigate the prevalence rate of nosocomial infection on November 24, 2009, and the data were analyzed statistically. Results The hospitalized patients should be checked 702 cases, the actual number of cases was 695 cases (99.0%), 26 cases of nosocomial infection, the prevalence of nosocomial infections was 3.74%. The prevalence of the top three departments were ICU (50.00%), Respiratory Medicine (12.50%) and Urology (10.53%). The top three sites of infection were the lower respiratory tract (53.85%), the urinary tract 19.23%), incision (11.54%). Conclusion The investigation of prevalence of nosocomial infection is helpful to discover the existing problems in nosocomial infection management and provide a reliable basis for the establishment of nosocomial infection control measures. To establish the nosocomial bacterial spectrum files to guide the rational use of antimicrobial agents, to strengthen ward management and prevent the occurrence of cross-infection And strengthening aseptic technique training and disinfection management are all important measures to reduce the rate of nosocomial infection.