医院感染现患率调查分析  

Investigation and analysis of nosocomial infection prevalence

作　　者：常虹[1] 张伟[1] 王颖[1] 张玉芝[1] 

机构地区：[1]天津中医药大学第一附属医院感染管理处,天津300193

出　　处：《中华医院感染学杂志》2012年第1期56-58,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院感染现状、病原菌的检出及抗菌药物的使用情况。方法采用床旁调查和查阅病历相结合的方法,调查2010年8月25日所有住院患者(包括调查日出院、转科及死亡的病例,不包括调查日入院患者)的医院感染情况。结果调查病历1408份,医院感染42例,医院感染现患率2.98%;抗菌药物使用率22.59%;病原菌排列前3位的依次是金黄色葡萄球菌、鲍氏不动杆菌、铜绿假单胞菌,且均为多药耐药菌。结论多药耐药菌已成为医院感染中的常见菌群,应加强医院感染控制,合理使用抗菌药物及消毒剂,减少耐药菌产生。OBJECTIVE To understand the status of hospital infection, status of pathogenic bacteria detection and the usage of antibiotics. METHODS We applied the method of combination of investigation on inpatients and checking medical records to investigate the hospital infection status of all inpatients admitted in the hospital on Aug 25, 2010 （including the patients who left hospital, the patients transferred to other department and the patients who were dead, excluding the patients enrolled on the surrey day）. RESULTS Among 1408 cases of this investigation, 42 cases were infected in the hospital, the current infection rate was 2. 98% the use rate of antibiotics was 22.59 % the top three pathogenic bacteria causing hospital infection were Staphylococcus aureus, Acinetobacter baurnannii and Pseudornonas aeruginosa. All these three bacteria belonged to multiple drug-resistant bacteria. CONCLUSION Multidrug-resistant bacteria have become familiar bacteria for hospital infection. We should strengthen the implementation of control SOP of hospital infection and make use of the antibiotics and disinfectants reasonably to reduce drug resistant bacteria.

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]