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目的了解上海某医院住院患者医院感染状况及抗菌药物的使用情况,为医院感染预防与控制提供依据。方法采用横断面调查的方法,对某医院所有住院患者医院感染及相关因素进行调查与分析。结果调查该医院住院患者684例,发生医院感患者39例,医院感染现患率为5.70%。患者感染部位中,呼吸道感染占69.23%,其中53.85%为下呼吸道感染;泌尿道占15.38%。共分离出病原菌15株,金黄色葡萄球菌、铜绿假单胞菌、肺炎克雷伯菌和肠球菌居前4位。调查当日抗菌药物使用率为38.60%,治疗性用药患者病原学标本送检率为44%。结论该医院住院患者医院感染现患率较高,需加强高危科室、高危人群的医院感染管理。
Objective To understand the prevalence of nosocomial infections and the use of antibacterials in hospitalized patients in a Shanghai hospital and provide evidence for the prevention and control of nosocomial infections. Methods The method of cross-sectional survey was used to investigate and analyze the hospital infection and related factors of all hospitalized patients in a hospital. Results The hospital inpatients 684 cases, 39 cases of hospital flu occurred, the prevalence of hospital infection was 5.70%. Among the infected sites, respiratory infections accounted for 69.23%, of which 53.85% were lower respiratory tract infections; urinary tract accounted for 15.38%. A total of 15 pathogens were isolated, Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae and Enterococcus in the top four. The antibacterial drug use rate was 38.60% on the day of investigation, and the etiological rate of the therapeutic drug was 44%. Conclusion The prevalence rate of nosocomial infection in hospital is higher than that in nosocomial patients. It is necessary to strengthen the management of nosocomial infections in high-risk department and high-risk department.