2050例住院患者医院感染现患率调查分析  

Prevalence rate of nosocomial infections in 2050 hospitalized patients

作　　者：王红韶[1] 穆丽焕[1] 姚源[1] 王国华[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院感染监控科,黑龙江哈尔滨150001

出　　处：《中华医院感染学杂志》2012年第17期3702-3704,共3页Chinese Journal of Nosocomiology

摘　　要：目的调查与分析医院感染的现患率,为临床更有效地预防医院感染提供依据。方法采取床旁调查和查阅住院病历相结合的方法,对2010年3月24日的住院患者进行医院感染现患率调查。结果应查2050例,实查2050例,实查率100.0%;发生医院感染75例,感染现患率为3.7%,高于平时连续性调查结果;医院感染部位以呼吸道感染居首位占62.7%;抗菌药物使用率为61.1%,其中一联用药率为70.9%;治疗用药病原菌送检率为54.4%;铜绿假单胞菌等革兰阴性菌为医院感染的主要病原菌,真菌感染也占有相当比例。结论通过医院感染现患率调查,及时发现医院感染管理中存在的问题,有利于控制和预防医院感染。OBJECTIVE To investigate the prevalence rate of nosocomial infections so as to provide bases for the effective prevention of nosocomial infections.METHODS By the means of bed-side survey combined with the review of medical records,the prevalence rate of nosocomial infections in the hospitalized patients on Mar 24 2010 was investigated.RESULTS A total of 2050 cases were expected to investigate,2050 cases were investigated actually with the actual investigation rate of 100.0%;nosocomial infections occurred in 75 cases with the prevalence rate of 3.7%,higher than that of the consecutive investigation;the respiratory tract was the main infection site,accounting for 62.7%;the utilization rate of antibiotics was 61.1%,the use rate of single-drug was 70.9%;the submission rate of the pathogens was 54.4%;gram-negative bacilli such as Pseudomonas aeruginosa were the main pathogens causing nosocomial infections,and fungal infections took a large proportion as well.CONCLUSION To find out the problems existing in the management of nosocomial infections in a timely manner by conducting the survey of prevalence of nosocomial infections will benefit the control and prevention of nosocomial infections.

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]