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目的为了解我院医院感染的发病情况及危险因素,评价日常资料的准确性,显示出医院感染发病的趋势,有的放矢地做好医院感染的预防和控制工作。方法 2012年按照计划从9月23日零时至24时院感办对全院11个病区进行了医院感染现患率调查。按2001年国家卫生部颁布的《医院感染诊断标准》,采用床旁调查和在架病历调查相结合的方法进行,填写统一的个案调查表,所有被调查对象中处于医院感染状态的患者,均计入医院感染。结果本次应调查住院患儿242人,实查241人,实查率99.5%,发生医院感染4例,医院感染患病率1.7%。结论通过医院感染现患率调查,全面了解了医院感染的现状,结果提示应重点对新生儿科、内五科等高危科室开展目标性监测;提高病原学诊断意识和水平,加强临床标本送检,规范抗菌药物合理使用,从而不断降低医院感染率。
Objective To understand the incidence and risk factors of nosocomial infections in our hospital and to evaluate the accuracy of routine data, which shows the trend of nosocomial infections and targeted prevention and control of nosocomial infections. Methods According to the plan, from 2012 to midnight on September 23, 2012, a total of 11 wards in the hospital were surveyed for prevalence of nosocomial infections. According to the “Diagnostic Criteria for Nosocomial Infections” promulgated by the Ministry of Health in 2001, a combination of bedside investigation and on-the-shelf medical records was used to complete the questionnaire. A single case questionnaire was filled in and all the patients in the survey were found to have nosocomial infections Included in hospital infection. Results This time, 242 in-patients should be investigated, 241 people were investigated, the actual investigation rate was 99.5%, 4 cases of nosocomial infection and 1.7% of nosocomial infections were found. Conclusion The current prevalence of nosocomial infection in the survey, a comprehensive understanding of the status of nosocomial infection, the results suggest that focus should be on neonatology, five subjects and other high-risk departments to carry out targeted surveillance; improve the awareness and level of etiological diagnosis, and strengthen the submission of clinical specimens, norms Rational use of antimicrobial agents, which continue to reduce the hospital infection rate.