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目的了解医院感染发生的基本情况、抗菌药物的使用及病原菌的送检情况,发现存在医院感染的隐患,为有效控制医院感染,提高医院感染管理水平提供科学依据。方法采用横断面调查的方法,在指定的时间段内查阅在架病历,床旁访视患者,填写统一调查表,对调查结果进行统计分析。结果应查病历435份,实查病历435份,实查率为100%,医院感染现患率为2.8%,医院感染部位以呼吸道感染居首位,其中下呼吸道感染为83.3%,表浅切口感染为8.3%,器官腔隙感染为8.3%;抗菌药物使用率为39.1%;治疗用药病原学送检率为53.8%。结论现患率调查能真实反映医院感染的易感因素、存在的问题,有助于不断改进预防、控制措施,提高医院感染控制质量,降低医院感染的发生率。
Objective To understand the basic situation of nosocomial infection, the use of antimicrobial agents and the submission of pathogens, and to find out the hidden dangers of nosocomial infection in order to provide a scientific basis for effectively controlling nosocomial infections and improving the management of nosocomial infections. Methods The method of cross-sectional survey was used to visit the patients in the frame records and bedside visits within the designated time period, fill in the unified questionnaire and conduct statistical analysis on the survey results. The results should check the medical records of 435, the actual medical records of 435 copies, the actual examination rate was 100%, the prevalence of hospital infection was 2.8%, the highest part of the hospital infection with respiratory tract infection, including lower respiratory tract infection was 83.3%, superficial incision infection Was 8.3%, organ lacunar infection was 8.3%, antimicrobial use was 39.1%, and etiology of treatment was 53.8%. Conclusion The prevalence survey can reflect the real-time factors and problems of nosocomial infection, which helps to improve prevention and control measures, improve the quality of nosocomial infection control and reduce the incidence of nosocomial infections.