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目的为贯彻落实卫生部《医院感染管理办法》、《抗菌药物合理应用指导原则》,了解成都三六三医院医院感染的现状,对医院感染控制工作进行评价,提高医务人员的感染控制意识。方法制定统一调查方案与措施,逐一查看2011年9月21日全院住院患者在架病历,对全院住院患者通过床旁询问和体检的方式进行调查。结果全院共有住院患者621例,实查621例,实查率100%。发生医院感染19例,现患率为3.06%。抗生素使用率46.38%。病原学送检率21.88%。结论加强医务人员医院感染知识的培训是提高其医院感染防控意识的重要手段;提高感染患者病原学送检率,减少经验性用药,依据药敏结果合理使用抗生素,达到有效减少耐药菌产生的目的。
Objectives To implement the “Measures for the Management of Nosocomial Infections” and the “Guiding Principles for the Rational Application of Antibacterials and Drugs” of the Ministry of Health to understand the current status of Nosocomial Infection in 3663 hospitals in Chengdu and to evaluate the infection control in hospitals so as to raise awareness of infection control among medical staffs. Methods Establish a unified investigation program and measures, one by one to view the September 21, 2011 in-hospital patients in the rack medical records, hospitalized patients in the hospital through the bedside inquiry and physical examination of the way to investigate. Results There were 621 hospitalized patients in our hospital, 621 cases were investigated, and the actual examination rate was 100%. 19 cases of nosocomial infection, the prevalence was 3.06%. Antibiotic use rate of 46.38%. The rate of etiology was 21.88%. Conclusion Strengthening training of medical staffs’ knowledge on nosocomial infection is an important way to improve their consciousness of prevention and control of nosocomial infection. It can improve the rate of etiological examination in infected patients and reduce the use of empirical drugs. The rational use of antibiotics based on drug susceptibility results can effectively reduce the production of resistant bacteria the goal of.