2008年医院感染现患率调查与分析  

Investigation and analysis of prevalence rate of nosocomial infection

作　　者：冯丽[1] 龚瑞娥[1] 刘珍如[1] 张凤林[1] 吕一欣[1] 吴英[1] 

机构地区：[1]中南大学湘雅医院感染控制中心,湖南长沙410008

出　　处：《中国现代医学杂志》2010年第4期599-601,604,共4页China Journal of Modern Medicine

摘　　要：目的了解我院医院感染发生情况,对医院感染控制工作进行效果评价。方法采用现况调查的方法,对所有住院患者采用床旁询问病情和在架病历查阅相结合的方法进行调查,填写统一的个案调查表,对调查日处于感染状况的病例进行统计分析。结果调查住院患者1925人,医院感染现患率为5.30%,例次现患率为5.61%;感染部位主要是下呼吸道,其次是上呼吸道、手术部位、口腔;全院抗菌药物日使用率为47.48%,手术科室使用率超过非手术科室。结论针对医院感染率较高的科室及高危部门进行重点监测及干预,可预防和控制医院感染的流行与暴发;加强临床微生物送检,规范手术科室抗菌药物合理使用,降低抗菌药物使用率。【Objective】To investigate the information on HA （hospital infection）in our hospital, and to evaluate the effect about nosocomial infection control.【Methods】Using the method of cross-sectional investigation, the bedside inquiry was made and the medical records of all the hospitalized patients were referred to. HA cases investigation schedule table was filled in, the infection information of the cases was analyzed at the day of investigation.【Results】 Totally 1925 patients were investigated, HA rate was 5.30 %, and case infection rate was 5.61 %. The main sites of infection were lower respiratory tract, upper respiratory tract, operative site and, oral cavity. The rate of daily antibiotic use was 47.8 %, and the use rate at operation units was higher than in non-operation units.【Conclusion】More attention should be paid to the high rate and high risk units of HA so as to prevent and control prevalence or outbreak of HA. Antibiotics should be rationally used in operation units and the use rate of antibiotics should be reduced.

关 键 词：医院感染 现患率 感染部位 抗菌药物调查 预防与控制 

分 类 号：R195.1[医药卫生—卫生统计学]