目的了解基层县级医院医院感染现患率、抗菌药物使用、细菌培养标本送检等基本情况,发现并分析基层医院医院感染管理中存在的问题,为提高基层医院预防和控制医院感染的管理水平提供依据。方法医院感染管理科以专职人员为主,抽调临床科室监控医师及监控护士协同,调查2011年3月23日0∶00-24∶00所有住院患者;采取床旁调查和查阅病历相结合的方法,将所有调查结果进行统计分析。结果应调查住院患者360例,实际调查360例,实查率100.0%,发生医院感染6例,医院感染现患率为1.6%,感染部位以肺部感染为首,占66.6%,抗菌药物使用率为71.1%。结论医院感染现患率调查快速有效,能及时发现存在问题并为有效开展目标性监测提供依据。 Objective To understand the prevalence of nosocomial infections in hospitals at the county level, the use of antibacterials and the inspection of bacterial culture specimens. The problems in the management of nosocomial infections in primary hospitals were found and analyzed, and the management level of nosocomial infections in primary hospitals was improved in accordance with. Methods The hospital infection management department mainly consisted of full-time staffs. It coordinated with the clinical department monitoring physicians and the monitoring nurses to investigate all inpatients from 0:00 to 24:00 on March 23, 2011. A combination of bedside investigation and medical record review , All the survey results for statistical analysis. Results 360 inpatients should be investigated. The actual investigation was 360 cases, the actual examination rate was 100.0%, hospital infection occurred in 6 cases, and the prevalence rate of hospital infection was 1.6%. The infected area was dominated by pulmonary infection, accounting for 66.6%. The antibacterial usage rate was 71.1%. Conclusion The survey of prevalence rate of nosocomial infection is quick and effective, which can detect the problems in time and provide the basis for effective target monitoring.