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目的掌握儿童医院感染发生率及影响因素,发现医院感染管理中存在的问题和医院感染发生的规律,加强预防控制措施提供依据。方法确定某日为调查日期,对参与调查人员进行培训,调查方法分2种,分别为床旁调查和电子病历查阅,调查人员认真填写个案登记表。感控专职人员总结数据,进行统计分析。结果调查住院患者999例,医院感染现患率为4.60%,例次现患率为4.80%。感染部位以下呼吸道为首位,构成比为64.58%。检出病原菌以金黄色葡萄球菌占首位。全院抗菌药物使用率65.97%,治疗用药占91.81%。结论本次调查资料反映了现阶段医院感染实际情况,掌握了医院感染率和病原体临床分布的特征,可以采取措施加强重点科室目标性监测,降低呼吸道感染,降低医院感染率。
Objective To determine the incidence and influencing factors of nosocomial infection in children, to find out the problems in the management of nosocomial infections and the regularity of nosocomial infections, and to provide basis for strengthening prevention and control measures. Methods One day was determined as the date of the survey. Participants were trained. The survey methods were divided into two types: bedside investigation and electronic medical record review. The investigators carefully completed the case registration form. Induction and control full-time staff summarize the data for statistical analysis. RESULTS: A total of 999 inpatients were investigated. The prevalence of nosocomial infection was 4.60%, and the prevalence was 4.80%. The respiratory tract at the site of infection was the first place, and the composition ratio was 64.58%. The detection of pathogenic bacteria to Staphylococcus aureus first place. The use of antibacterials was 65.97% in the hospital and 91.81% in the treatment. Conclusions The survey data reflect the actual situation of nosocomial infection at this stage, master the characteristics of nosocomial infection rate and clinical distribution of pathogens, and can take measures to strengthen targeted monitoring of key departments, reduce respiratory infections, and reduce hospital infection rates.