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目的了解和掌握我院医院感染实际发生率,感染特点,抗菌药物应用情况,为加强医院感染控制提供科学依据。方法采用横断面调查,床旁调查和病例调查相结合的方法,对2016年5月17日0:00—24:00我院住院患者进行医院感染现患率调查。结果调查的1435例患者中发生医院感染45例,51例次,感染率为3.14%,例次感染率3.55%。主要感染部位为呼吸道、手术切口和泌尿道感染。医院感染病原菌主要为鲍曼不动杆菌、肺炎克雷伯杆菌、大肠杆菌。结论本次调查我院感染现患率较平时监测感染发生率高,抗菌药物使用率达国家规定标准,但较平时日常监测低。病原学送检率,手术切口感染仍是我院感染防控的重点。通过医院感染现患率调查,对掌握我院感染发生情况,强化医护人员感控意识,有效控制医院感染发生具有一定指导意义。
Objective To understand and grasp the actual incidence of nosocomial infection in our hospital, the characteristics of infection, the application of antimicrobial agents, to provide a scientific basis for strengthening hospital infection control. Methods A cross-sectional survey, bedside survey and case investigation were used to investigate the prevalence of nosocomial infections in our hospital from 0: 00-24: 00 on May 17, Results Of the 1435 patients surveyed, 45 were hospital-acquired infections (n = 51), the infection rate was 3.14%, and the infection rate was 3.55%. The main site of infection for the respiratory tract, surgical incision and urinary tract infections. Hospital infection pathogens mainly Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli. Conclusion The prevalence of infection in our hospital was higher than that of normal surveillance infection in this survey. The usage rate of antimicrobial drugs reached the national standard, but the routine monitoring was lower than usual. The rate of etiology, surgical incision infection is still the focus of prevention and control of infection in our hospital. Through the investigation of the current prevalence of nosocomial infections, it is of guiding significance to grasp the occurrence of nosocomial infections, strengthen the sense of awareness and control of nosocomial infections, and effectively control the occurrence of nosocomial infections.