某综合医院医院感染现患率调查分析  

Survey on the Prevalence of Nosocomial Infection in A Comprehensive Hospital

作　　者：罗婵清[1] 朱小绵 洪喜[1] 周霓[1] 

机构地区：[1]汕头市中心医院医院感染管理科,广东汕头515031

出　　处：《热带医学杂志》2014年第11期1482-1483,1534,共3页Journal of Tropical Medicine

摘　　要：目的了解汕头市中心医院住院患者医院感染的实际发病情况,增强医务人员医院感染防控意识,为制定院内感染监控措施提供依据。方法采用床边检查和查阅病历相结合的方法 ,对当日所有的住院患者进行调查。结果当天医院感染现患率为1.95%,例次感染现患率为2.00%;感染率最高的科室为ICU,为30.00%;在各感染部位中,下呼吸道感染的构成比最大,为52.9%;抗菌药物使用率为38.9%,联合应用率全院平均为6.8%,以二联用药为主,占联合用药中的93.9%。药物使用率及联合应用率最高的科室均为ICU,分别达到100.0%和60.0%。结论应加强对重症监护病房的医院感染管理,加强呼吸机相关性肺炎的监测、加强多重耐药菌监测及抗菌药物合理应用的管理。Objective To investigate the present situation of nosocomial infection, in order to provide scientific data for laying down measures for surveillance and control of nosocomial infection. Methods Every inpatients of the day was surveyed by bed-side clinical examination and consulting their medical records. Results The nosocomial infection rate was 1.95%; case infection rate was 2.00% ; ICU had the highest one-day prevalence rate of 30.0%. Among all infection sites, lower respiratory tract was the most common, accounting for 52.9%. The application rate of antibiotics was 38.9%, the combined application rate of antibiotics was 6.8%; among which, two kinds of antibiotics application was the most common, accounted for 93.9%. ICU had the highest antibiotics application rate of 100.0% and two kinds of antibiotics application rate of 60.0%. Conclusion It should be reinforced to manage nosocomial infection in neurology medicine department, as well as the rational utilization of antibiotics should be strengthen.

关 键 词：医院感染 现患率 

分 类 号：R197.323.4[医药卫生—卫生事业管理]