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目的了解医院儿科系统医院感染现患率、抗菌药物使用情况,发现医院感染管理中所存在的问题,为制定防控措施提供科学依据。方法采取床边调查和住院病历调查相结合,填写统一个案调查表,对2007年8月22日的住院患者进行医院感染现患率调查。结果调查住院患儿86例,医院感染现患率及例次感染率均为4.65%;日抗菌药物使用品种19种,使用率为95.35%;感染部位均为上呼吸道,细菌培养送检率仅为14.63%。结论儿科系统应加强抗菌药物的管理和培训,有针对性的合理应用抗菌药物,杜绝抗菌药物的滥用。
Objective To understand the current prevalence of nosocomial infections and the use of antimicrobial agents in hospital pediatric systems and to find out the problems existing in the management of nosocomial infections so as to provide a scientific basis for making prevention and control measures. Methods A combination of bedside survey and inpatient medical records was used to fill in a unified case questionnaire to investigate the prevalence of nosocomial infections in inpatients on August 22, 2007. Results 86 hospitalized children were investigated. The prevalence rate of infection and the rate of nosocomial infection in hospital were 4.65%. Nineteen kinds of antimicrobial agents were used each day, the rate of use was 95.35%. The infected sites were all upper respiratory tract. The rate of bacterial culture was only 14.63%. Conclusion Pediatric system should strengthen the management and training of antimicrobial agents, targeted rational use of antimicrobial agents, to eliminate the abuse of antimicrobial agents.