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目的了解医院感染现状,制定科学的医院感染监控措施。方法于2010年9月8日0∶00-24∶00采用横断面调查方法,床旁调查和查阅住院病历相结合,调查所有医院感染病例并进行统计分析。结果实际调查996例,发生医院感染28例,现患率为2.81%,30例次感染,例次感染率为3.01%;调查日抗菌药物使用例数为538例,抗菌药物使用率为54.01%;感染部位以下呼吸道感染率最高,占感染部位的50.00%,其次为手术部位感染,占21.42%;共检出病原菌18株,分别是大肠埃希菌9株占50.00%,肺炎克雷伯菌4株占22.22%,铜绿假单胞菌2株占11.10%,近平滑假丝酵母菌、白色假丝酵母菌、弗氏柠檬酸杆菌各1株,各占5.56%。结论通过对医院感染现患率调查,将加强对医院重点科室、重要环节的监测,对常见的医院感染采取干预措施。
Objective To understand the current status of nosocomial infection and to develop a scientific monitoring method for nosocomial infection. METHODS: A cross-sectional survey method was used at 0:00 to 24:00 on September 8, 2010, and the bedside survey and inpatient medical records were combined to investigate all cases of nosocomial infections and conduct statistical analysis. Results There were 996 cases investigated and 28 cases were hospitalized. The prevalence rate was 2.81%. The infection rate was 3.01%. The number of antibacterials used on the survey day was 538 and the antibacterial usage rate was 54.01%. The infection rate of respiratory tract was the highest, accounting for 50.00% of the infected sites, followed by the surgical site infection, accounting for 21.42%. 18 pathogenic bacteria were detected, including 9 strains of E. coli accounting for 50.00%, Klebsiella pneumoniae 4 Strains accounted for 22.22%, Pseudomonas aeruginosa 2 strains accounted for 11.10%, nearly smooth C. albicans, Candida albicans, Citrobacter freundii each one, each accounting for 5.56%. Conclusion Through the investigation of the prevalence of nosocomial infections, we will strengthen the monitoring of key departments and important links in hospitals and take interventions for common nosocomial infections.