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目的了解某医院的医院感染现状和相关因素,为制定医院感染的目标监测计划和预防控制措施提供依据。方法由医院感染管理专职人员和临床各科室医院感染管理小组成员参加,在规定时间内完成所有住院患者的调查,应用床旁调查和查阅病历相结合的方法,填写统一的调查表,并对调查结果进行统计分析。结果应调查住院患者1519例,实际调查1479例,实查率97.37%;医院感染现患率为3.11%,感染部位以呼吸道居首,占63.26%;抗菌药物使用率为26.37%,以一联和二联用药为主分别占76.92%、21.80%,病原学送检率为41.03%。结论现患率调查方法可在短期内全面了解医院感染管理现状,并可根据结果有针对性地开展目标监测;在临床工作中应加强感染患者的病原学检查,规范抗菌药物的合理使用,以降低医院感染发生率。
Objective To understand the current situation and related factors of nosocomial infection in a hospital and provide the basis for establishing the target monitoring plan and prevention and control measures of nosocomial infection. Methods The hospital infection management professionals and clinical departments of hospital infection management team members to participate in the scheduled time to complete all inpatient investigations, the application of bedside access and medical records combined with the method of filling in a unified questionnaire, and survey Results of statistical analysis. Results 1519 inpatients should be investigated, the actual survey was 1479 cases, the actual investigation rate was 97.37%; the prevalence rate of nosocomial infection was 3.11%, the infection site was the respiratory tract, accounting for 63.26%; the antibacterial usage rate was 26.37% Medication accounted for 76.92% and 21.80% respectively, while the etiological rate was 41.03%. Conclusion The current prevalence rate survey method can fully understand the current status of nosocomial infection management in a short period of time, and can be targeted according to the results of the target monitoring; in clinical work should strengthen the etiological examination of infected patients, regulate the rational use of antimicrobial agents to reduce The incidence of nosocomial infection.