某综合医院2009年医院感染现患率的调查分析  

Investigation on Prevalence Rate of Nosocomial Infection in a General Hospital in 2009

作　　者：张水红[1] 张霞[1] 李育竹 李鹏[3] 赵冬梅[1] 

机构地区：[1]山东大学第二医院感染管理科,济南250033 [2]齐鲁医院中西医结合科,济南250012 [3]山东大学口腔医学院

出　　处：《解放军护理杂志》2011年第2期15-17,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：山东省软科学项目(No.2008RKB057)

摘　　要：目的了解山东大学第二医院2009年医院感染现患率及特点,制定目标性监测方案。方法 2009年6月11日0:00-24:00对所有住院患者进行调查,采用床旁调查和病历调查相结合的方法,逐一填写《个案登记表》;调查前对所有调查人员进行培训以统一调查标准。结果调查实查率为98.56%,医院感染现患率为4.24%,例次感染率为4.39%;感染率最高的科室为ICU占40.00%;感染部位以下呼吸道居首位,占36.7%;标本送检率为56.67%;主要的医院感染病原菌为金黄色葡萄球菌;抗菌药物使用率为55.85%。结论通过医院感染现患率调查,可全面真实地了解医院感染现状,从而有针对性地制定目标性监测方案,降低医院感染率。Objective To comprehend the status and characteristics of nosocomial infections in the Second Hospital Shangdong University so as to develop a targeted monitoring program.Methods During the interval of 0：00-24：00 in June 11,2009,all the hospitalized patients underwent a combined survey of bedside investigations and medical records to fill in the ＂case registration form ＂.All the investigators were trained for statistical standards before the investigation.Results The actual invesitgation rate,current prevalence rate of nosocomial infections and case infeciton rate were 98.56%,4.24% and 4.39%,respectively.The highest infection rate（40%） was observed in ICU and lower respiratory tract infection ranked first,accounting for 36.7%.The specimens sent rate was 56.67%.The main pathogens of nosocomial infections was Methicillin-resistant Staphylococcus aureus（MRSA）.The usage rate of antimicrobial drug was 55.85 %.Conclusion Using the prevalence survey of nosocomial infections,full awareness of the true status of hospital infections were implemented to develop targeted monitoring program for reducing infection rates.

关 键 词：医院感染 现患率 调查分析 目标性监测 

分 类 号：R197.323[医药卫生—卫生事业管理]