777例住院患者医院感染现患率调查与分析  

Prevalence of nosocomial infections in 777 cases of inpatients:investigation and analysis

作　　者：吴晓英[1] 缪李丽[2] 曾钦文[1] 郭满书[1] 黄才惠[1] 汪道琼[3] 

机构地区：[1]重庆医科大学附属永川医院医院感染管理科,重庆永川402160 [2]重庆医科大学附属永川医院医院呼吸内科,重庆永川402160 [3]重庆医科大学附属永川医院医院社区卫生服务中心,重庆永川402160

出　　处：《中华医院感染学杂志》2011年第15期3129-3131,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解住院患者医院感染现状,为医院感染预防和控制工作提供科学依据。方法采用床旁调查及查阅病例相结合的横断面调查方法,对2010年7月6日的住院患者进行医院感染现患率调查。结果实查住院患者777例,医院感染现患率为2.70%,例次感染率为3.22%,其中以综合ICU现患率最高,占14.29%;医院感染部位以下呼吸道感染居首位,占56.00%;抗菌药物使用率为61.90%;医院感染病原菌以革兰阴性菌为主,占57.90%。结论应加强对高危科室目标监测,进一步加强抗菌药物的监控和管理,提高病原学送检率,减少预防用药,降低抗菌药物的使用率,控制医院感染的发生。OBJECTIVE To estimate the current situation about nosocomial infection（NI） of hospitalized patients and provide the scientific basis for preventing and controlling NI.METHODS A point prevalence survey by bed-side and case records of NI in all inpatients was made on Jul 6,2010.RESULTS Among the 777 inpatients investigated in the study,the prevalence rate was 2.70% and the prevalence rate of case-times was 3.22%.The highest prevalence rate appeared in ICU with 14.29%.The first infected site was lower respiratory tract,and its infection constituent ratio was 56.00%.The usage rate of antibiotics was 61.90%.The main Pathogens of nosocomial infection were G-bacteria with 57.90%.CONCLUSION It is important to strengthen the monitoring of hospital infection in high risk departments,and reduce the preventive use of antibacterials and the rate of the hospital infection.

关 键 词：医院感染 现患率 调查 分析 

分 类 号：R181.32[医药卫生—流行病学]