目的了解医院感染管理现状,为医疗安全持续质量改进提供依据。方法采取横断面调查方法,结合床旁调查和病历查阅,填写统一的调查表,对2013年11月6日0:00-24:00所有住院患者医院感染现患率进行分析。结果调查日实查住院患者838例,医院感染22例、23例次,医院感染发生率为2.63%、例次感染率2.74%;医院感染部位以下呼吸道为主,其次为泌尿道感染,分别占43.48%和21.73%。医院感染病原菌以革兰阴性菌为主,占57.14%;调查日抗菌药物使用率为41.05%;治疗性用药患者病原学标本送检率为100%;医院感染高危人群以危重症、免疫低下的患者为主,高危因素以侵入性操作为主。结论通过横断面调查,了解到医院感染管理的现状及管理的薄弱部门,为持续质量管理和改进提供了依据和方向。 Objective To understand the current status of nosocomial infection management and provide the basis for the continuous quality improvement of medical safety. Methods A cross-sectional survey method was used to investigate the prevalence of nosocomial infections in all inpatients from 0: 00-24: 00 on November 6, 2013, with a bedside survey and medical records review. Results On the survey day, 838 inpatients were hospitalized, 22 were hospital-based and 23 were hospitalized. The incidence of nosocomial infections was 2.63%, and the incidence of nosocomial infections was 2.74%. The main respiratory tract was below respiratory tract, followed by urinary tract infections, accounting for 43.48% and 21.73% respectively. Gram-negative bacteria were the main pathogens in the hospital, accounting for 57.14%; the rate of antibacterial drug use was 41.05% on the survey day; the rate of etiological specimens was 100% in the therapeutic drug patients; the critically ill and immunocompromised patients Patients, the main risk factors to invasive operation. Conclusion Through the cross-sectional survey, we learned that the current situation of hospital infection management and weak departments of management provided the basis and direction for continuous quality management and improvement.