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目的了解医院感染现状、病原菌的检出及抗菌药物的使用情况。方法采用床旁调查和查阅病历相结合的方法,调查2010年8月25日所有住院患者(包括调查日出院、转科及死亡的病例,不包括调查日入院患者)的医院感染情况。结果调查病历1408份,医院感染42例,医院感染现患率2.98%;抗菌药物使用率22.59%;病原菌排列前3位的依次是金黄色葡萄球菌、鲍氏不动杆菌、铜绿假单胞菌,且均为多药耐药菌。结论多药耐药菌已成为医院感染中的常见菌群,应加强医院感染控制,合理使用抗菌药物及消毒剂,减少耐药菌产生。
Objective To understand the status of nosocomial infection, detection of pathogens and the use of antibacterials. Methods A combination of bedside investigation and medical records was used to investigate the nosocomial infections of all inpatients on August 25, 2010, including those discharged on the survey day, intercourse and death, excluding those admitted on the survey day. Results A total of 1408 medical records were investigated, among which 42 cases were hospital infection, the prevalence rate of nosocomial infection was 2.98%, the usage rate of antibacterials was 22.59%. The top three pathogens were Staphylococcus aureus, Acinetobacter baumannii, Pseudomonas aeruginosa, And are multi-drug resistant bacteria. Conclusion Multidrug-resistant bacteria has become a common bacterial infection in nosocomial infections. Infection control should be strengthened, antibacterials and disinfectants should be rationally used to reduce the generation of resistant bacteria.