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目的通过对医院感染现患率的调查,掌握医院感染的实际情况以及医院感染发生的特点,抗菌药物的使用情况,为医院感染防控提供依据,改进医院感染管理工作。方法采用横断面调查方法,对住院患者进行医院感染和抗菌药物使用情况调查和分析。应查53 487例,实查52 524例,实查率98.2%。结果医院感染人次现患率5.41%(2 841/52 524),例次感染率8.01%(4 207/52 524),感染部位以下呼吸道感染居首位(59%),ICU、康复医学科、血液科、神经外科为感染高发科室。气管切开、呼吸机的使用等是医院感染的高危因素。结论医院感染发生率、医院感染部位绝对数呈递增态势。抗菌药物使用仍是医院感染控制的重点、难点。
Objective To investigate the current prevalence of nosocomial infection, master the actual situation of nosocomial infection, and the characteristics of nosocomial infections, the use of antimicrobials, and provide basis for prevention and control of nosocomial infections and to improve the management of nosocomial infections. Methods The method of cross-sectional survey was used to investigate and analyze the hospital infection and the use of antibacterial drugs in hospitalized patients. 53 487 cases should be examined, 52 524 cases checked out, and the actual investigation rate was 98.2%. Results The prevalence of nosocomial infections was 5.41% (2 841/52 524), the rate of nosocomial infection was 8.01% (4 207/52 524), the highest among respiratory infections (59%), ICU, Rehabilitation Medicine, blood Department, Department of Neurosurgery for the high incidence of infection department. Tracheotomy, the use of ventilator and other risk factors for nosocomial infections. Conclusions The incidence of nosocomial infections and the absolute number of nosocomial infections showed an increasing trend. Antibacterial use is still the focus of hospital infection control, the difficulty.