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目的了解部队医院住院患者医院感染现状,为加强医院感染管理提供参考。方法采用横断面调查的方法,对某驻军医院2012-2014年连续3次进行住院患者医院感染现患率调查与分析。结果该医院在2012-2014年的3个调查日对住院患者实查率均达到100%。连续3次实查住院患者依次为234例、264例和224例,医院感染现患率依次为2.56%、0.76%和1.34%。患者感染部位均以下呼吸道、泌尿系统和手术部位感染为主,医院感染患者主要分布在内科系统。抗菌药物使用率为52.14%,而使用抗菌药物患者的病原学标本送检率仅6.23%。结论该部队医院住院患者医院感染现患率较低,抗菌药物应用存在不合理现象,应有针对性地加强监督管理。
Objective To understand the status of nosocomial infection in hospitalized troops in military hospitals and provide references for strengthening the management of nosocomial infections. Methods A cross-sectional survey was conducted to investigate and analyze the prevalence of nosocomial infection among inpatients in a garrison hospital from 2012 to 2014 for three consecutive times. Results The hospital had 100% in-patient check-in rates on all three survey days from 2012 to 2014. In-hospital visits for three consecutive times were 234 cases, 264 cases and 224 cases. The prevalence rates of nosocomial infections were 2.56%, 0.76% and 1.34%, respectively. Patients infected with the following respiratory tract, urinary system and surgical site infections, nosocomial infections mainly in the medical system. Antibiotics use rate was 52.14%, while the use of antimicrobial drugs in patients with etiological specimens submitted rate of only 6.23%. Conclusion The prevalence of nosocomial infection in hospital is low and there is an irrational use of antimicrobial agents. Supervision and management should be strengthened in a targeted manner.