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目的了解医院感染现患情况,发现医院感染管理中存在的问题和医院感染发生的特点,以改进预防控制措施。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表;对调查日处于医院感染状态的病例进行统计分析。结果应查1500例,实查1493例,实查率99.53%,医院感染现患率为5.69%,例次现患率6.03%;内科组现患率最高为8.54%;下呼吸道感染占38.89%;耐甲氧西林表皮葡萄球菌(MRSE)、耐甲氧西林金黄色葡萄球菌(MRSA)等多药耐药菌检出率49.23%;抗菌药物使用率48.69%,其中治疗用药40.99%,预防用药51.17%,治疗加预防用药7.84%。结论医院感染现患率调查快速有效,能及时发现存在的问题并为有效开展医院感染目标性监测提供依据。
Objective To understand the prevalence of nosocomial infections and find out the problems existing in the management of nosocomial infections and the characteristics of nosocomial infections so as to improve the prevention and control measures. Methods Unified training of investigators, bedside medical history, physical examination and in-frame medical records combined to fill in a unified case questionnaire; on the survey day in hospital infection cases were statistically analyzed. The results should be checked in 1500 cases, the actual investigation of 1493 cases, the investigation rate of 99.53%, the prevalence of hospital infection was 5.69%, the prevalence of cases was 6.03%; the highest prevalence of medical group was 8.54%; 38.89% of lower respiratory tract infection; Methicillin-resistant Staphylococcus aureus (MRSE), methicillin-resistant Staphylococcus aureus (MRSA) and other multidrug-resistant bacteria detection rate of 49.23%; antibacterial drug use rate of 48.69%, of which 40.99% of the treatment of drugs, prophylaxis 51.17% Treatment and prevention of medication 7.84%. Conclusion The survey of prevalence rate of nosocomial infection is quick and effective, which can detect the existing problems in time and provide the basis for effectively monitoring the target of nosocomial infection.