797例住院患者医院感染横断面调查  

Cross-sectional Study of 797 Hospital Patients with Nosocomial Infection

作　　者：姜亚绒[1] 李荣[1] 刘苏燕[1] 任红月[1] 

机构地区：[1]陕西省西安市儿童医院,陕西西安710003

出　　处：《实用预防医学》2011年第1期51-53,共3页Practical Preventive Medicine

摘　　要：目的了解儿童专科医院医院感染现状,为制定医院感染控制措施提供可靠的依据。方法床旁调查与住院病历调查相结合方法,对2010年6月30日的住院患者进行现患率调查。结果调查住院患者797例,现患率为3.89%;感染的部位依次是上呼吸道(64.5%)、下呼吸道(16.1%)、胃肠道(12.9%)。抗菌药物日使用率89.5%,其中一联药物72.4%,共涉及6类24种抗菌药物,用药频率最高的是头孢菌素类,其次是青霉素类,住院患者用药前菌检率为30.3%。结论加强高危科室目标性监测,进一步规范抗菌药物的使用,有效地控制医院感染的发生。Objective To know the current situation of nosocomial infection（NI） in children hospital,and to provide the reliable evidence for making NI control measures. Methods The method of bedside examination and medical records checking were undertaken to investigate the prevalence rate of NI in the inpatients on June 30,2010. Results Among 797 investigated patients,the prevalence rate of NI was 3.89%.The common NI sites were the upper respiratory tract（64.5%）,the lower respiratory tract（16.1%） and the gastrointestinal tract（12.9%）.The antibiotic day-use rate was 89.5%,of which 72.4% of the antibiotics were singly used,totally 6 kinds of antibiotics（24 varieties） were included.Cephalosporins were at the first place in use,followed by penicillins.The detection rate of pathogens in the inpatients before administration was 30.3%. Conclusions The results suggest that specific surveillance should be conducted in departments with high risk for nosocomial infection,moreover,the standardized use of antibiotics should be further stressed in order to reduce drug resistance and nosocomial infection.

关 键 词：医院感染 横断面调查 现患率 抗菌药物 

分 类 号：R197.3[医药卫生—卫生事业管理]