2010-2011年医院感染横断面调查分析  

Analysis of Cross-sectional Study in Nosocomial infection

作　　者：曾莉怡[1] 丁伟建[1] 曾欣荣[1] 王娅[1] 余静[1] 

机构地区：[1]株洲市一医院,湖南株洲412000

出　　处：《大家健康（学术版）》2012年第18期73-75,共3页

摘　　要：目的探讨我院医院感染和抗菌药物应用的现状。方法采用横断面调查方法,床旁调查和病历调查相结合的方式,调查我院2011年5月23日0:00-24:00时的医院感染现患率,并与2010年横断面调查结果进行对比分析。结果 2011年调查住院病人1502人,实际调查1483人,实查率为98.74%,医院感染现患率为3.3%,例次现患率为3.51%,2010年调查住院病人1285人,实际调查1281人,实查率为99.69%,医院感染现患率为4.22%,例次现患率为4.45%;2011年横断面调查抗菌药物使用率为42.48%,以一联用药为主,治疗用药的病例微生物样本送检率为45.68%,2010年横断面调查抗菌药物使用率为50.59%,以一联用药为主,治疗用药的病例微生物样本送检率为32.73%。结论横断面调查较前瞻性调查准确性高;抗菌药物应用管理的加强对抗菌药物的合理化使用、减缓耐药起到了至关重要的作用。Objective To investigate the current situation of nosocomial infection and the use of antibiotics. Methods A cross-sectional survey was performed to investigate nosocomial infection and community infection of all patients in our hospital on May 11th 2011 by bedside and CR(clinical record). The result was compared with the investigation on Jun 22nd 2010. Results In all 1502 hospital patients, we actually investigate 1483 patients in 2011.The checking rate was 98.74%. The prevalence rate of nosocomial infection was 3.3% and case prevalence rate was 3.51%. In 2010, the checking rate was 99.69%. The prevalence rate of nosocomial infection was 4.22% and case prevalence rate was 4.45%. The antibiotics using rate was 42.48% in 2011, compared with 50.59% in 2010. Bacteria checking rate of clinical case was 45.68%, compared with 32.73% in 2010. Conclusion Cross-sectional study is convenient, accurate and speedy. Strengthening the management of antibacterials makes difference in reasonable use of antibacterials and it is significance to step down the drug fast.

关 键 词：医院感染 横断面调查 现患率 高危因素 

分 类 号：R181.3[医药卫生—流行病学]