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目的了解内科与外科医院感染现状。方法床边调查与病例调查相结合。结果调查1556例住院患者,当日医院感染现患率4.43%,例次现患率5.20%,其中内科感染42例(4.9%),外科感染39例(5.6%),差异无统计学意义(P>0.05);内、外科感染部位不同;感染病原菌以G-杆菌为主;全院抗菌药物日使用率为46.5%,内科使用率低于外科(P<0.01),内、外科抗菌药物使用目的不同(P<0.01),内科细菌培养率高于外科(P<0.01)。结论加强外科手术部位感染的控制,规范部分科室抗菌药物使用行为。
Objective To understand the current status of internal medicine and surgical hospital infection. Methods Bedside Surveys combined with case studies. Results 1556 inpatients were investigated. The prevalence rate of hospital infection was 4.43% and the prevalence rate was 5.20% in the same day. Among them, 42 cases (4.9%) were medical infection and 39 cases (5.6%) were surgical infection, the difference was not statistically significant (P> 0.05 ). The internal and surgical sites were different. The main pathogens were G-bacilli. The daily use rate of antibacterials in the hospital was 46.5%, the internal medicine utilization rate was lower than that of surgery (P <0.01), and the purpose of using antibacterial drugs was different P <0.01). The rate of bacterial culture in internal medicine was higher than that in surgery (P <0.01). Conclusion To strengthen the control of surgical site infection, regulate the use of antimicrobial agents in some departments.