上海某老年护理院2014—2016年医院感染横断面研究  

A Cross-sectional Study on Nosocomial Infections in a Geriatric Nursing Home in Shanghai during the Period from 2014 to 2016

作　　者：谭军 王剑云 袁艳玲[2] 周爱军[2] 翁晓芳[2] 刘程琳[1,2] Tan Jun;Wang Jianyun;Yuan Yarding;Zhou Aijun;Weng Xiaofang;Liu Chenglin(School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang, 330006;Department of Hospital Infection Control, Baoshan Branch of Shanghai First People＇s Hospital, Shanghai, 200940;P. R. Chin)

机构地区：[1]南昌大学江西医学院公共卫生学院,南昌330006 [2]上海市第一人民医院宝山分院医院感染管理科,上海200940

出　　处：《老年医学与保健》2018年第2期171-173,共3页Geriatrics & Health Care

摘　　要：目的了解上海某老年护理院2014—2016年医院感染现患情况,为医院感染防控提供依据。方法采用床旁调查和病史查阅相结合的横断面调查方法,对某老年护理院2014—2016年某一日住院患者的医院感染现患情况和抗菌药物使用情况进行调查。结果 2014—2016年医院感染现患率分别为8.92%、9.02%、6.69%(x^2=1.24,P>0.05);男性现患率(10.73%)高于女性现患率(5.92%)(2=6.15,P<0.05);60~69岁、70~79岁、80~89岁、≥90岁组医院感染现患率分别为5.56%、6.98%、8.15%、14.81%(x^2=4.06,P<0.05);医院感染部位构成以下呼吸道(39.39%)和泌尿道感染(36.36%)为主;3年抗菌药物使用率分别为8.18%、9.02%、6.69%(x^2=1.02,P>0.05),标本送检率均为0.00%。结论应加强医院感染管理和监测,改善经验用药情况,有效减少医院感染的发生。Objective To investigate the nosocomial infections （NIs） in a geriatric nursing home in Shanghai during the period from 2014 to 2016 so as to provide basis for prevention and control.Methods Cross-sectional study with the combination of bedside investigation and case record review was carried out on the prevalence of NIs and the application of antibiotics in all the hospitalized patients on given days during the period from 2014 to 2016.Results The prevalence rate of NIs of the 3 years from 2014 to 2016 was 8.92%,9.02% and 6.69% respectively （Х^2=1.24,P〉0.05）;the prevalence rate of Nis in males （10.73 %） was higher than that in females （5.92 %）;the prevalence rate of NIs of the patients aged from 60 to 69,from 70 to 79,from 80 to 89 and ≥90 years old was 5.56%,6.98%,8.15% and 14.81% respectively （Х^2=4.06,P〈0.05）;the main NIs sites were lower respiratory tract （39.39%） and urinary tract （36.36%）;the application rate of antibiotics of the hospitalized patients in the 3 years from 2014 to 2016 was 8.18%,9.02% and 6.69% respectively （Х^2=1.02,P 〉 0.05）,the specimen submission rate was 0.00 % in each of the 3 years.Conclusions The management and monitoring of Nis should be strengthened and experienced use of antibiotic be improved in case to reduce the occurrence of Nis.

关 键 词：老年护理院 医院感染 

分 类 号：R47[医药卫生—护理学]