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目的探讨我院医院感染和抗菌药物应用的现状。方法采用横断面调查方法,床旁调查和病历调查相结合的方式,调查我院2011年5月23日0:00-24:00时的医院感染现患率,并与2010年横断面调查结果进行对比分析。结果 2011年调查住院病人1502人,实际调查1483人,实查率为98.74%,医院感染现患率为3.3%,例次现患率为3.51%,2010年调查住院病人1285人,实际调查1281人,实查率为99.69%,医院感染现患率为4.22%,例次现患率为4.45%;2011年横断面调查抗菌药物使用率为42.48%,以一联用药为主,治疗用药的病例微生物样本送检率为45.68%,2010年横断面调查抗菌药物使用率为50.59%,以一联用药为主,治疗用药的病例微生物样本送检率为32.73%。结论横断面调查较前瞻性调查准确性高;抗菌药物应用管理的加强对抗菌药物的合理化使用、减缓耐药起到了至关重要的作用。
Objective To investigate the status of nosocomial infections and antibacterials in our hospital. Methods The method of cross-sectional survey, bedside survey and medical records were used to investigate the prevalence rate of nosocomial infection at 0: 00-24: 00 on May 23, 2011 in our hospital and compared with the results of the 2010 cross-sectional survey Comparative analysis. Results In 2011, there were 1,502 inpatients surveyed, of which 1483 were actually investigated, the actual examination rate was 98.74%, the prevalence rate of hospital infection was 3.3%, the prevalence rate was 3.51% in the current case, 1,285 inpatients were surveyed in 2010, 1281 were actually investigated, The actual investigation rate was 99.69%, the prevalence rate of nosocomial infection was 4.22%, and the prevalence rate was 4.45% in the case-time series. The rate of antibacterial drug use in the cross-sectional survey in 2011 was 42.48% The detection rate was 45.68%. In 2010, the cross-sectional survey of antibacterials utilization rate was 50.59%, mainly in one drug combination. The treatment rate of drug samples was 32.73%. Conclusion The cross-sectional survey is more accurate than the prospective investigation. The management of antimicrobial agents is playing a crucial role in the rational use of antimicrobial agents and alleviating drug resistance.