医院感染现患率调查分析  

Prevalence Rate of Nosocomial Infection in a Hospital

作　　者：王琳[1] 程曦[2] 杨红薇[2] 王文倩[2] 吕琳[1] 

机构地区：[1]昆明医学院第二附属医院科研科,云南昆明650101 [2]昆明医学院第二附属医院感控科,云南昆明650101

出　　处：《中华医院感染学杂志》2009年第23期3192-3194,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院感染现患情况,发现医院感染管理中存在的问题和医院感染发生的特点,以改进预防控制措施。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表;对调查日处于医院感染状态的病例进行统计分析。结果应查1500例,实查1493例,实查率99.53%,医院感染现患率为5.69%,例次现患率6.03%;内科组现患率最高为8.54%;下呼吸道感染占38.89%;耐甲氧西林表皮葡萄球菌(MRSE)、耐甲氧西林金黄色葡萄球菌(MRSA)等多药耐药菌检出率49.23%;抗菌药物使用率48.69%,其中治疗用药40.99%,预防用药51.17%,治疗加预防用药7.84%。结论医院感染现患率调查快速有效,能及时发现存在的问题并为有效开展医院感染目标性监测提供依据。OBJECTIVE To investigate the point prevalence of nosocomial infection（NI） and discover the problems in the management of NI in a hospital.METHODS A team of surveyors were trained to inquire history of illness,do physical examination for inpatients and collect some necessary data from medical records on a single day.Questionnaires about NI cases were filled out and analyzed.RESULTS From 1500 patients,1493（99.53%） patients were investigated,the point prevalence and case prevalence of NI were 5.69% and 6.03%;the highest prevalence appeared in internal medicine at 8.54%;lower respiratory tract infections accounted for 38.89%;the detection rate of multi-drug resistant（MDR） bacteria was 49.23%;antimicrobial utilization rate was 48.69%.CONCLUSIONS The prevalence survey is a rapid and efficient method,which could offer evidence of target surveillance of NI.

关 键 词：医院感染 现患率 多药耐药 

分 类 号：R181.32[医药卫生—流行病学]