医院感染现患率调查分析  

Survey on prevalence rate of nosocomial infections

作　　者：赵晋[1] 同俏静[1] 袁玉华[1] 李炅昊 周志慧[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院医院感染管理科,浙江杭州310016 [2]浙江大学医学院附属义乌医院医院感染管理科,浙江义乌310029

出　　处：《中华医院感染学杂志》2015年第8期1770-1772,共3页Chinese Journal of Nosocomiology

基　　金：浙江省重大科技专项基金资助项目(2008C13029-1)

摘　　要：目的了解医院感染现状,为改进现患率调查方法提供依据。方法对2012年11月2日住院的1 224例患者进行医院感染现患率调查,并与2008年现患率调查进行比较,对调查方法进行质量改进分析。结果全院实查1 204例,实查率98.37%,其中发生医院感染95例,现患率7.89%,较2008年医院感染现患率6.24%有所上升;抗菌药物使用率由2008年的53.35%降低至2012年的38.21%,微生物标本送检率由49.04%升高至72.02%,且抗菌药物使用率和微生物标本送检率的改变差异均有统计学意义(P<0.05)。结论通过比较分析2008年与2012年现患率调查结果及方法,提出对2013年现患率调查的改进方法。OBJECTIVE To understand the situation of nosocomial infections（NI）,and improve the methods of prevalence survey.METHODS A cross-sectional survey was conducted to investigate the infection rate of NI in1224 inpatients who were admitted in the hospital on Nov.2,2012.Then the infection rate was compared with the prevalence rate in 2008,and continuous quality improvement was made for investigation methods.RESULTS Totally 1204 patients were investigated,and the actual investigation rate was 98.37%.The nosocomial infections occurred in 95 patients with the infection rate of 7.89%.Compared with 2008,the prevalence rate of NI increased from 6.24%to 7.89%.In 2008 and 2012,the utilization rate of antibiotics was 53.35% and 38.21%,and the etiological submission rate was increased from 49.04% to 72.02%;both the differences in the utilization rate of antibiotics and the etiological submission rate were significant（P〈0.05）.CONCLUSIONThrough comparison of the analysis results and methods of the prevalence survey in 2008 and 2012,the improvement methods were put forward for the prevalence survey in 2013.

关 键 词：医院感染 现患率 持续质量改进 

分 类 号：R181.32[医药卫生—流行病学]