某妇幼保健院医院感染现患率调查  

Pevalence rate of healthcare-associated infection in a maternal and child health care hospital

作　　者：李晖[1] 高晓玲[1] 钟巧[1] 刘珺[1] 林春燕[1] 沈嘉茵[1] 

机构地区：[1]南方医科大学附属深圳妇幼保健院,广东深圳518028

出　　处：《中国感染控制杂志》2015年第5期336-338,共3页Chinese Journal of Infection Control

基　　金：深圳市科创委基础研究项目(JCYJ 20140414145349528)

摘　　要：目的了解某妇幼保健院2014年医院感染情况,为进一步目标性监控提供科学循征依据。方法采用床旁调查与在架运行病历调查相结合的方法,对该院住院患者进行医院感染横断面调查。结果实查住院患者768例,发现医院感染9例,医院感染现患率为1.18%;现患率排名居前3位的科室依次为产科重症监护室(ICU,9.09%)、新生儿ICU(NICU,5.80%)、妇二区(2.22%);抗菌药物使用率为30.34%(233例),其中预防性使用抗菌药物134例,占57.51%;单一用药者165例,占70.82%。医院感染患者共检出病原菌5株,其中无乳链球菌2株,肺炎克雷伯菌、粪肠球菌、腐生葡萄球菌各1株,除无乳链球菌外,其余3株均为多重耐药菌。结论医院应高度重视多重耐药菌的感染监控,采取目标性监测与集束化干预的方法,以降低多重耐药菌医院感染的发生。Objective To understand healthcare-associated infection（HAl） in a maternal and child health care hos- pital, so as to provide scientific evidences for further targeted surveillance. Methods A cross-sectional survey was performed by bedside visiting and medical record reviewing. Results Of 768 hospitalized patients, 9（1.18%） had HAl, the top 3 highest prevalence rates were found in obstetrical intensive care unit （9.09%）, neonatal intensive care unit （5.80 % ） and gynecological department II（2.22 % ）. Antimicrobial usage rate was 30.34 % （n = 233）, 134 of which （57.51%） were prophylactic use, 165 were mono-therapy（70.82%）. A total of 5 pathogenic bacteria were isolated, the number of Streptococcus agalactiae , Klebsiella pneumonia, Enterococcus f aecalis , and Staphylococcus saprophyticus was 2,1,1, and 1 respectively, except Streptococcus agalactiae, the other 3 strains were multidrug- resistant organisms（MDROs）. Conclusion Surveillance on MDRO infection should be paid much attention, the occurrence of MDRO infection should be reduced through targeted and bundle intervention.

关 键 词：妇幼保健院 医院感染 现患率 横断面调查 抗菌药物 

分 类 号：R181.32[医药卫生—流行病学]