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目的了解医院感染的现状。方法采用横断面调查方法,床旁调查和查阅病历相结合,对调查日住院患者进行医院感染现患率调查。结果实查148例,实查率100%,发生医院感染8例,现患率为5.40%,感染8例次,例次感染率为5.40%;下呼吸道感染居首位,构成比为50.00%,其次为泌尿道感染,构成比为25.00%;治疗性细菌培养送检率为55.00%,检出医院感染病原菌5株,分别为大肠埃希菌、肺炎链球菌、沙雷菌属、铜绿假单胞菌;抗菌药物使用率为13.3%。结论通过现患率调查加强对重点科室、重点环节的监控,降低医院感染率,提高病原菌送检率,合理使用抗菌药物。
Objective To understand the status of nosocomial infection. Methods The method of cross-sectional survey, bedside survey and medical records were combined to investigate the prevalence of nosocomial infection in hospitalized patients on the survey day. The results of the actual investigation of 148 cases, the investigation rate of 100%, nosocomial infection in 8 cases, the prevalence was 5.40%, 8 cases of infection, the case-time infection rate was 5.40%; lower respiratory tract infection ranked first, the constituent ratio of 50.00% Followed by urinary tract infection, the constituent ratio was 25.00%; the rate of therapeutic bacteria culture was 55.00%, and 5 strains of pathogenic bacteria were detected in hospital, which were Escherichia coli, Streptococcus pneumoniae, Serratia, Mycobacterium; antibacterial drug usage was 13.3%. Conclusion Surveillance shows that the prevalence of major departments, key links to strengthen surveillance, reduce hospital infection rates, improve the delivery rate of pathogens, the rational use of antimicrobial agents.