2011年肿瘤专科医院医院感染现患率调查分析  

Incidence of nosocomial infections in a tumor hospital in 2011

作　　者：王美华[1] 龚光明[1] 周红芳[1] 吴晓燕[1] 徐俊炜[1] 

机构地区：[1]南通市肿瘤医院感染管理科,江苏南通226006

出　　处：《中华医院感染学杂志》2013年第13期3072-3074,共3页Chinese Journal of Nosocomiology

基　　金：南通市科技局指导性计划课题(S10939)

摘　　要：目的了解肿瘤专科医院感染现状及抗菌药物应用情况,为预防和控制医院感染提供科学依据。方法采取横断面调查法,以感染管理科专职人员为主、各临床科室感染管理小组成员配合,床旁调查和查看病历相结合,对调查日所有住院患者进行调查,并对结果进行汇总分析。结果调查实际住院患者836例,发生医院感染8例,医院感染现患率为0.96%;主要为下呼吸道感染占50.0%,其次为腹、盆腔内组织感染占25.0%,胸膜腔感染、眼耳口腔感染各占12.5%;抗菌药物使用率16.7%,一联用药占49.29%,二联用药占50.00%,三联用药占0.71%。结论医院感染现患率调查方法简单,结果可靠,能够真实反映医院感染发生及抗菌药物使用情况,为有效制定医院感染控制措施提供科学依据。OBJECTIVE To provide the scientific foundation for preventing and controlling nosocomial infections by investigating the incidence of nosocomial infections and the use of antibacterial agents in a tumor hospital.METHODS A cross-sectional survey was conducted,the full-time staff of the infection control branch assisted by the members of the infection control team in the clinical departments investigated all the hospitalized patients on the survey day by the bedside investigation combined with the review of medical records,and the results were statistically analyzed.RESULTS Of totally 836cases of hospitalized patients actually investigated,the nosocomial infections occurred in 8case-times of patients with the incidence rate of 0.96%;the lower respiratory tract infections accounted for 50.0%,followed by the abdominal and pelvic tissue infections（25.0%）,pleural space infections（12.5%）,and eye,ear,and oral cavity infections（12.5%）;the utilization rate of antibiotics was 16.7%,the one-drug medication accounted for 49.29%,two-drug medication 50.00%,and three-drug medication 0.71%.CONCLUSION The investigation of prevalence of nosocomial infections is simple and reliable and can reflect the actual incidence of nosocomial infections and the use of antibiotics,which provides scientific basis for developing the measures of control of nosocomial infections.

关 键 词：肿瘤医院 现患率 抗菌药物 

分 类 号：R181.32[医药卫生—流行病学]