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目的了解住院患者医院感染基本情况,为加强医院感染管理提供依据。方法采用横断面调查方法,依据JCI标准对某医院住院患者医院感染现患率进行调查与分析。结果调查当日实查住院患者2 012例,发生医院感染47例,医院感染现患率为2.34%。医院感染高发科室以呼吸科重症监护病房居首位,占40.00%;感染部位以下呼吸道居首位,占41.18%。感染病原菌排名前五位的分别为肺炎克雷伯菌、屎肠球菌、大肠埃希菌、白假丝酵母菌和金黄色葡萄球菌;病原学标本送检率为42.79%;抗菌药物使用率为28.73%。结论该医院住院患者医院感染现患率处于可控范围,呼吸科ICU为重点防范科室,加强耐药菌监控为重点防控措施。
Objective To understand the basic situation of nosocomial infection in hospitalized patients and provide basis for strengthening nosocomial infection management. Methods The cross-sectional survey method was used to investigate and analyze the prevalence of nosocomial infection in hospitalized patients in a hospital according to the JCI standard. Results On the day of investigation, 2 012 hospitalized patients were investigated, 47 were hospitalized, and the prevalence rate was 2.34%. The highest incidence of nosocomial infection was in respiratory care intensive care unit, accounting for 40.00%. The respiratory tract below the infected site was the highest, accounting for 41.18%. The top five infectious pathogens were Klebsiella pneumoniae, Enterococcus faecium, Escherichia coli, Candida albicans and Staphylococcus aureus; the rate of etiological specimens was 42.79%; the antibacterials utilization rate was 28.73%. Conclusion The prevalence rate of nosocomial infection in hospital is in a controllable range. The department of respiratory ICU is the key preventive department and the monitoring of drug-resistant bacteria is the key prevention and control measures.