638例住院患者医院感染现患率调查与分析  

Prevalence rates of nosocomial infections in 638 cases of inpatients

作　　者：黄荔红[1] 王佳[1] 游荔君[1] 吴德花[1] 许娟[1] 刘玉光[1] 

机构地区：[1]南京军区福州总医院第一附属医院感控科,福建莆田351100

出　　处：《中华医院感染学杂志》2011年第19期4005-4007,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院感染现患率,分析主要影响因素,找到预防和控制感染有效方法。方法采用床旁调查和病历调查相结合,统计分析调查及处于医院感染状态的病例。结果实查住院患者638例,实查率99.5%,医院感染现患率3.9%,例次现患率4.9%;手术切口是医院感染的主要部位;营养不良和低蛋白血症是医院感染的主要危险因素,抗菌药物使用率为40.6%,预防性用药为53.3%。结论该次医院感染现患率调查人员经严格培训,结果较为可靠;需加强对手术切口管理、空气消毒,控制陪护和日常高危因素监测,提高病原学送检率,提高抗菌药物合理使用率,控制医院感染发生。OBJECTIVE To know the hospital prevalence rate,analyze the main influence factors,and find out the effective ways to control infection.METHODS The combination of clinic and patients history survey was adopted to calculate and analyze the cases in the condition of hospital infection.RESULTS Of 638 inpatients were investigated,the actual survey rate was 99.5%;3.9% for the prevalence rate by hospital infection;and 4.9% for the case prevalence rate.The main sites of hospital infection were the operation incisions;the main risks were the malnutrition and hypoproteinemia;the use rate of antibiotics was 40.6%,and prophylactic antibiotics 53.3%.CONCLUSION The surveyors on hospital prevalence this time have all been trained strictly,so the results are credible.It must strengthen the operation incision management and air disinfection,control accompanies and detect the daily high risk,increase the etiology submit for censorship rate,raise the proper use rate for preventive regimen and decrease 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]