某医院内科病区患者医院感染现患率调查  

Investigation on prevalence rate of nosocomial infection of inpatients in internal medicine of a hospital

作　　者：薛菊兰[1] 胡晓原[2] 王向荣 万正东[1] 

机构地区：[1]长江大学附属第一医院,湖北荆州434000 [2]中南大学湘雅医学院 [3]湖北省中医药大学

出　　处：《中国消毒学杂志》2016年第3期239-241,共3页Chinese Journal of Disinfection

基　　金：湖北省教学科学"十二五"规划项目(2012B083)

摘　　要：目的了解医院内科病区住院患者医院感染发病率和抗感染药物应用情况,为采取控制措施提供依据。方法采用横断面调查法,对某医院内科病区住院患者医院感染现患率和抗菌药物日使用情况进行调查。结果2013和2014年调查当日实查内科系统住院患者分别为763例和857例,医院感染现患率分别为4.06%和2.22%,连续2年均以神经内科病区较高,下呼吸道感染患者占60%。感染病原菌以鲍曼不动杆菌居首位,其次是肺炎克雷伯菌;抗菌药物日使用率平均为35.80%,治疗性用药患者病原学标本送检率平均为56.90%。结论该医院住院患者医院感染现患率在可控范围内,且呈现下降趋势,新生儿病区和神经病区为当前重点防范科室。Objective To understand the incidence rate of nosocomial infection and antibiotics usage status of inpatients in internal medicine,so as to provide the evidence for taking measures to reduce morbidity of nosocomial infection. Methods Cross sectional survey was used to investigate and analyze case data of nosocomial infection and antibiotics usage collected from prevalence rate investigation in internal medicine of our hospital in 2013 and 2014. Results 763 and 857 inpatients in internal medicine of the hospital were investigated on survey day in 2013 and 2014 respectively,the prevalence rate of nosocomial infection was 4. 06% and 2. 22% respectively. The prevalence rates of nosocomial infection in neurology ward were high for 2 consecutive years,patients with lower respiratory tract infection accounted for 60%. Acinetobacter baumannii ranked first in infection pathogen,followed by Klebsiella pneumonia,the average utilization rate of anti- infection drug was 35. 80%,the pathogens specimen submission rate in patients with therapeutic medication reached 56. 90%. Conclusion Prevalence rate of nosocomial infection in the hospital is in a controllable range and shows a downward trend,neonate ward and neuropathy wards should be focused on prevention.

关 键 词：医院感染 现患率 调查 

分 类 号：R181.32[医药卫生—流行病学]