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目的:了解医院内住院病人的感染情况和影响因素,降低医院感染发生率,提高医院的监测预防与控制能力,降低住院病人的医院感染率。方法:通过医院感染管理科的专职人员对2013年10月-2013年11月于我院住院的所有患者进行调查,随医生查房、查看病人病历与交班记录,调查病人的基本资料与医院感染状况,填写医院感染发生率调查表,统计分析其调查结果。结果:调查结果发现,医院感染率达到了5.79%。其中神经外科感染率最高,达到8.93%;介入科感染率最低,128例住院患者中只出现1例感染患者;患者易感染部位通常为上下呼吸道、手术切口、泌尿系统、盆腹腔内、与皮肤等部位;抗菌药物的使用率为59.14%。结论:通过这种调查方法,能够短时间系统地掌握医院感染现状,根据调查结果有针对性地进行目标监测,合理使用抗菌药物,以此逐渐减少医院感染率。
Objective: To understand the inpatients’ infection and influencing factors in hospital, reduce the incidence of nosocomial infection, improve the monitoring, prevention and control ability of hospital and reduce the hospital infection rate of inpatients. Methods: All patients hospitalized in our hospital from October 2013 to November 2013 were investigated through full-time staff of the Hospital Infection Management Section. Patients’ medical history and attendance records were examined with physician rounds, the patient’s basic information and hospital infection were investigated Status, fill in the incidence of hospital infection questionnaire, statistical analysis of their findings. Results: The survey found that hospital infection rate reached 5.79%. The highest infection rate of neurosurgery was 8.93%. The lowest infection rate was in interventional department, and only one infected patient was found in 128 inpatients. The most common site of infection was upper and lower respiratory tract, surgical incision, urinary system, intraperitoneal cavity and skin And other parts; the use of antibacterials was 59.14%. Conclusion: Through this method of investigation, we can systematically master the status of nosocomial infections in a short period of time, and conduct targeted monitoring according to the results of the investigation, so as to reduce the nosocomial infection rate gradually by reasonably using antimicrobial agents.