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目的了解安溪县医院医院感染现患率和抗菌药物的使用现况,提高医院感染监测的准确性。方法采用横断面调查,床旁与病历调查相结合,于2015年8月24日0:00-24:00,调查所有住院病人的医院感染现患率和抗菌药物使用等情况,对调查结果进行统计分析。结果当日住院患者659例,实查率100.0%,院感现患率1.7%。感染部位泌尿系感染占45.5%,呼吸道感染占27.3%。抗菌药物使用率45.2%,其中治疗用药占50.7%、预防用药占42.6%、治疗+预防用药占6.7%;一联用药占71.1%,二联占27.9%,三联占1.0%;抗菌药物使用率最高的科室为ICU 100.0%、儿科非新生儿组87.2%、儿科新生儿组77.8%和普外科71.4%。病原菌送检率15.2%。结论医院需加强重点科室医院感染管理,降低泌尿系感染,提高病原学送检率,规范抗菌药物使用,以有效预防和控制医院感染。
Objective To understand the current prevalence of nosocomial infection in Anxi Hospital and the current situation of the use of antibacterials, and to improve the accuracy of nosocomial infection monitoring. Methods The cross-sectional survey, bedside and medical records were combined to survey the prevalence of nosocomial infections and the use of antimicrobial drugs in all inpatients from 0: 00-24: 00 on August 24, 2015. The survey results were statistically analyzed analysis. The results of the day 659 cases of hospitalized patients, the actual rate of 100.0%, hospital-present prevalence rate of 1.7%. Urinary tract infections accounted for 45.5% of infections, respiratory infections accounted for 27.3%. The use of antibacterials was 45.2%, of which 50.7% were for therapeutic use, 42.6% were for prophylactic use, 6.7% were for therapeutic + prophylactic use, 71.1% were used for combination therapy, 27.9% were dual use, and 1.0% were triple use. Antibiotic use The highest departments were ICU 100.0%, pediatric non-neonatal 87.2%, pediatric neonatal 77.8% and general surgery 71.4%. Pathogen detection rate of 15.2%. Conclusion The hospital should strengthen the management of key hospital infection, reduce urinary tract infection, improve the rate of etiological examination, standardize the use of antimicrobial agents, in order to effectively prevent and control nosocomial infections.