2008年湖北省6所教学医院医院感染现患率调查  

Prevalence Rate of Hospital Associated Infection in 6 University Hospitals in Hubei Province in 2008

作　　者：熊薇[1] 谢多双[2] 徐敏[1] 王洪波[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院医院感染管理科,湖北武汉430030 [2]十堰市太和医院,湖北十堰442000

出　　处：《中华医院感染学杂志》2010年第20期3116-3118,共3页Chinese Journal of Nosocomiology

摘　　要：目的调查湖北省内6所教学医院医院感染患病水平即抗菌药物使用情况。方法按照统一调查方法、使用卫生部医院感染诊断标准对湖北省内6所教学医院进行时点患病率调查。结果在7745例患者中309例发生331例次医院感染,现患率和例次现患率分别为3.99%和4.27%;ICU、血液内科和呼吸内科是感染率最高的科室;下呼吸道、上呼吸道和泌尿道是最常见感染部位;医院感染病原菌中以革兰阴性杆菌为主,而最常分离的细菌依次是铜绿假单胞菌,其次是大肠埃希菌、鲍氏不动杆菌和金黄色葡萄球菌;有50.08%使用抗菌药物,头孢菌素、青霉素和喹诺酮类是最常用的抗菌药物。结论湖北省6所教学医院医院感染处于中等水平,需要进一步加强医院感染监测和控制工作。OBJECTIVE To investigate the prevalence of hospital-associated infections（HAIs）in 6 teaching hospitals in Hubei.METHODS Prevalence survey was conducted by using the case definition criteria established by the Ministry of Health of P.R.China.RESULTS In all,331 HAIs were observed in 309 of 7745 surveyed patients.Prevalence and case-time prevalence were 3.99% and 4.27%,respectively.Of all the cases,respiratory tract infections were the most common,followed by urinary tract infection.Gram-negative bacteria were isolated with the highest frequency,and the most frequently isolated bacteria were Pseudomonas aeruginosa,followed by Escherichia coli,Acinetobacter baumannii and Staphylococcus aureus.50.08% of the patients received antimicrobial treatment,and cephalosporin,penicillin and quinolone were most commonly used for treatment or prevention.CONCLUSION The surveillance and control of HAIs should be further strengthened in 6 teaching hospitals in Hubei.

关 键 词：医院感染 患病率 调查 教学医院 

分 类 号：R181.32[医药卫生—流行病学]