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目的了解医院住院患者医院感染现状及危险因素,为有效控制医院感染提供参考。方法采用床旁调查与查阅病历相结合的横断面调查方法,对2011年7月19日的住院患者进行医院感染现患率调查。结果实查住院患者1041例,医院感染60例、67例次,医院感染现患率为5.76%、例次感染率为6.44%;其中血液内科感染率最高,为22.22%;医院感染部位以下呼吸道感染居首位,占38.81%;抗菌药物的使用率为48.41%;医院感染病原菌以革兰阴性为主。结论加强重点部门及高危人群的目标性监测,下呼吸道感染的预防与控制是今后工作的重点。
Objective To understand the current status and risk factors of nosocomial infection in hospitalized patients and provide reference for effective control of nosocomial infections. Methods A cross-sectional investigation combining bedside investigation with medical records was conducted to investigate the prevalence of nosocomial infections in hospitalized patients on July 19, 2011. Results There were 1041 hospitalized patients, 60 hospitalized cases and 67 hospitalized cases. The prevalence rate of nosocomial infection was 5.76%, and the rate of case-specific infection was 6.44%. Among them, the highest rate of blood medical infection was 22.22%. The following respiratory infections Ranking the first place, accounting for 38.81%; the usage rate of antibacterials was 48.41%; the pathogen of nosocomial infection was mainly Gram-negative. Conclusion To strengthen the targeted monitoring of key departments and high-risk groups, the prevention and control of lower respiratory tract infections are the focus of future work.