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目的了解某综合医院医院感染基本情况、抗菌药物使用现状及治疗性应用抗菌药物病原学检测,更好的控制医院感染及合理使用抗菌药物提供科学依据。方法调查2010-2013年连续4年的横断面调查日共应调查住院患者为3 775例,实际调查住院患者为3 729例,由感染监控部专职人员将调查数据录入“医院感染监测及数据直报系统”进行核对、汇总、整理、统计、分析并上报。结果 2010-2013年某综合医院感染现患率分别为3.05%、1.72%、2.33%、1.03%;抗菌药物使用率分别为42.76%、20.51%、21.09%、26.08%;一联用药使用率分别为81.22%、90.27%、93.25%、91.70%;二联用药使用率分别为17.99%、9.73%、6.75%、8.30%;三联用药使用率由0.79%降为0;治疗用药病原学送检率分别为24.15%、71.53%、81.62%、81.78%。结论医院感染现患率结果符合国家卫计委<10.00%的要求,通过每年的横断面调查日比较,反映了医院感染现患率、抗菌药物使用率及病原学送检率,更有利于开展细菌耐药性监测工作。
Objective To understand the basic situation of nosocomial infection in a general hospital, the current status of the use of antimicrobial agents and the etiological detection of antimicrobial agents for therapeutic use, and to provide a scientific basis for better control of nosocomial infections and rational use of antimicrobial agents. Methodological survey A total of 3 775 in-patients were surveyed in the cross-sectional survey conducted for 4 consecutive years from 2010 to 2013. The actual in-patient survey was 3 729 cases. Surveillance data were collected by full- Direct reporting system "to check, summarize, organize, statistics, analysis and reporting. Results The prevalence rates of infection in a general hospital from 2010 to 2013 were 3.05%, 1.72%, 2.33% and 1.03% respectively. The antibacterials utilization rates were 42.76%, 20.51%, 21.09% and 26.08% respectively. 81.22%, 90.27%, 93.25% and 91.70%, respectively. The rates of two drug use were 17.99%, 9.73%, 6.75% and 8.30% respectively. The rates of triple drug use decreased from 0.79% to 0, 24.15%, 71.53%, 81.62%, 81.78%. Conclusion The prevalence of nosocomial infection is in line with the requirements of the State Health Planning Commission <10.00%. Comparing the annual cross-sectional survey days, it reflects the prevalence of nosocomial infections, the rate of antibacterials use and the rate of etiological examination, which is more conducive to the development of bacterial resistance Drug monitoring.