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目的了解沈阳市某医院医院感染发生情况和趋势,为针对性地预防医院感染提供依据。方法采用横断面调查的方法,于2010—2012年对该院某日0~24时所有住院患者进行调查。结果该院3年医院感染现患率为4.59%~6.05%,显著高于当月医院感染发病率(1.50%~2.10%)。医院感染感染部位以呼吸道为主,其次为泌尿道等。抗菌药物使用率为51.63%~58.91%,治疗性使用抗菌药物病原学送检率为20.37%~23.07%。结论开展医院感染现患率调查,有利于了解医院感染现状和提高日常监测工作质量。同时应加强重点部门、重点部位的目标性监测与管理,加强抗菌药物的监控与管理,提高病原学送检率,正确、合理地使用抗菌药物。
Objective To understand the prevalence and trend of nosocomial infection in a hospital in Shenyang and to provide evidence for targeted prevention of nosocomial infections. Methods By means of cross-sectional survey, all inpatients from 0 to 24 in the hospital from 2010 to 2012 were investigated. Results The prevalence rate of nosocomial infection in hospital from 2003 to 2009 was 4.59% ~ 6.05%, significantly higher than the incidence of nosocomial infection in that month (1.50% -2.10%). Infected parts of the hospital respiratory tract, followed by the urinary tract. Antibiotics use rate was 51.63% ~ 58.91%, the therapeutic use of antimicrobial etiology sentinel rate was 20.37% ~ 23.07%. Conclusion The investigation of prevalence rate of nosocomial infection is helpful to understand the status of nosocomial infection and improve the quality of routine monitoring. At the same time, we should strengthen the targeted monitoring and management of key departments and key positions, strengthen the monitoring and management of antimicrobial agents, raise the rate of etiological examination, and correctly and rationally use antimicrobial agents.