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目的:通过现患率调查,发现医院感染管理中存在的问题,评价控制效果。方法:对调查人员进行统一培训,采用床旁调查和在架病历调查相结合的方法,填写统一的个案调查表,将调查日处于医院感染状态的病例进行统计分析。结果:本次调查1 804例,医院感染患病率为1.00%,例次患病率为1.27%;感染部位依次为下呼吸道(34.78%)、泌尿系统(26.09%)和手术部位(17.3%)。抗菌药物使用率54%,细菌培养送检率为19.4%。结论:医院感染现患率调查快速、有效,能够为有效开展医院感染目标性监测提供依据,加强临床标本送检,规范抗菌药物合理使用,从而不断降低医院感染率。
OBJECTIVE: To find out the problems existing in the management of nosocomial infection and evaluate the effect of control through the prevalence survey. Methods: To carry out unified training for investigators, and to adopt a combination of bedside investigation and on-the-frame medical record survey, fill in a unified case questionnaire and make statistical analysis on the cases of hospital infection on the survey day. Results: The prevalence of nosocomial infection was 1.00% in this survey, with a prevalence of 1.27%. The lower respiratory tract (34.78%), urinary system (26.09%) and surgical site (17.3% ). Antibiotics use rate of 54%, bacterial culture delivery rate of 19.4%. Conclusion: The survey of prevalence of nosocomial infections is quick and effective. It can provide the basis for effective surveillance of nosocomial infections, enhance the submission of clinical samples, and regulate the rational use of antimicrobial agents, thus reducing the nosocomial infection rate.