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目的为了解我院医院感染率及相关危险因素,为医院感染管理提供参考依据。方法采用床旁询问和病历调查相结合的方式,对我院2012年8月14日的所有住院患者进行横断面调查。结果调查住院患者346例,实查345例,实查率99.71%;医院感染现患率4.06%,感染例次率4.35%;感染部位主要为下呼吸道,感染率33.33%;调查日抗菌药物使用率56.23%,预防用药率25.77%;泌尿道插管和气管切开等侵袭性操作是医院感染发生的主要相关危险因素。结论加强医院感染管理,提高防控意识,加强抗菌药物监管,尽量减少各种危险因素,针对性干预,避免医院感染的发生。
Objective To understand the hospital infection rate and related risk factors in our hospital and provide a reference for the management of hospital infection. Methods By means of a combination of bedside inquiry and medical records, we conducted a cross-sectional survey of all hospitalized patients in our hospital on August 14, 2012. Results In-hospital patients 346 cases were investigated, the actual investigation rate was 99.71%; the prevalence rate of hospital infection was 4.06%, the infection rate was 4.35%; the infection site was mainly the lower respiratory tract, the infection rate was 33.33%; the antibacterial drug utilization rate 56.23% and prophylaxis rate 25.77%. Invasive operations such as urinary catheterization and tracheotomy were the main risk factors of nosocomial infection. Conclusion To strengthen the management of nosocomial infection, improve the awareness of prevention and control, strengthen the supervision of antimicrobial agents, minimize various risk factors and preventative nosocomial infections.