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目的了解住院患者医院感染现患率及抗菌药物使用情况,以制定科学有效的干预措施。方法采取横断面调查方法,结合查阅病历和床旁调查,选择某医院2013年度某日住院患者医院感染现状进行了调查与分析。结果本次共调查住院患者334例,发生医院感染15例,医院感染现患率为4.49%。感染部位居前3位的是下呼吸道、泌尿系和手术切口部位,感染率构成比依次为46.7%、26.6%和13.3%。调查当日住院患者抗菌药物使用率为66.8%。结论该医院住院患者医院感染现患率略高于国内同期报道的结果,抗菌药物使用率偏高,应采取有针对性的措施。
Objective To understand the prevalence of nosocomial infections in hospitalized patients and the use of antimicrobial agents to develop scientific and effective interventions. Methods A cross-sectional survey method was used to investigate and analyze the current status of nosocomial infections in hospitalized patients in a certain hospital in 2013 according to medical records and bedside surveys. Results A total of 334 hospitalized patients were investigated, 15 cases of nosocomial infection occurred, and the prevalence rate of nosocomial infection was 4.49%. The top three infected sites were lower respiratory tract, urinary tract and surgical incision sites. Infection rates were 46.7%, 26.6% and 13.3%, respectively. The inpatient antibacterial drug utilization rate was 66.8% on the day of investigation. Conclusion The prevalence of nosocomial infection in hospital was slightly higher than that reported in the same period in China, and the use rate of antimicrobial drugs was high. Therefore, targeted measures should be taken.