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目的了解儿童专科医院医院感染现状,为制定医院感染控制措施提供可靠的依据。方法床旁调查与住院病历调查相结合方法,对2010年6月30日的住院患者进行现患率调查。结果调查住院患者797例,现患率为3.89%;感染的部位依次是上呼吸道(64.5%)、下呼吸道(16.1%)、胃肠道(12.9%)。抗菌药物日使用率89.5%,其中一联药物72.4%,共涉及6类24种抗菌药物,用药频率最高的是头孢菌素类,其次是青霉素类,住院患者用药前菌检率为30.3%。结论加强高危科室目标性监测,进一步规范抗菌药物的使用,有效地控制医院感染的发生。
Objective To understand the status of nosocomial infection in children’s specialist hospitals and provide a reliable basis for the establishment of nosocomial infection control measures. Methods A combination of bedside survey and inpatient medical records was used to survey the prevalence of inpatients on June 30, 2010. Results A total of 797 hospitalized patients were surveyed, the prevalence was 3.89%. The upper respiratory tract (64.5%), lower respiratory tract (16.1%) and gastrointestinal tract (12.9%) were infected in sequence. The daily use rate of antibacterials was 89.5%, of which 72.4% was related to one class of drugs, involving 6 kinds of 24 kinds of antibacterial drugs. Cephalosporins were the most frequently used drugs, followed by penicillins. The rate of probiotics in hospitalized patients was 30.3%. Conclusion To strengthen the targeted surveillance of high-risk departments, to further standardize the use of antimicrobial agents and effectively control the occurrence of nosocomial infections.