医院感染现患率调查与分析  

Prevalence rate of nosocomial infection:investigation and analysis

作　　者：刘桂芝[1] 孙迎娟[1] 陈庆增[1] 任丽娟[1] 秦萍[1] 黄伟丽[1] 

机构地区：[1]青岛大学医学院附属医院感染管理科,山东青岛266003

出　　处：《中华医院感染学杂志》2011年第1期43-45,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院感染现状、抗菌药物使用情况及重要病原菌检出率,为提高医院感染管理水平提供科学依据。方法床旁调查与住院病历调查相结合。结果调查住院患者1307例,医院感染现患率为5.9%,例次现患率为6.2%其中以综合ICU最高,占38.1%;医院感染高发部位主要为下呼吸道、泌尿道、胃肠道,分别为58.0%、9.9%、8.6%;分离出病原菌47株,以革兰阴性杆菌为主;日抗菌药物使用率为47.7%。结论医院感染现患率调查快速、有效,可基本反映医院感染情况,能够为有效开展医院感染目标性监测提供依据。OBJECTIVE To investigate the present situation of nosocomial infection and to provide scientific bases for the surveillance of nosocomial infection.METHODS The survey form of personal case was filled by adopting the method of combining clinical investigation with consulting the medical records of inpatients.RESULTS Among the 1307 investigated patients,the prevalence rate of nosocomial infection was 5.9%;the case-time prevalence rate was 6.2%,and the highest NI rate was found in the general ICU（38.1%）.The infection sites were mainly in lower respiratory tract（58.0%）,urinary tract（9.9%） and gastrointestinal tract（8.6%）;47 strains pathogens were isolated,majority of infections is Gram-Negative bacillus;the application rate of antibiotics was 47.7% at the day of investigation.CONCLUSION The prevalence survey is a rapid and efficient method.It can mainly help doctors to understand the situation of nosocomial infection,which could offer evidence of target surveillance of nosocomial infection.

关 键 词：医院感染 现患率 抗菌药物 

分 类 号：R181.32[医药卫生—流行病学]