某医院住院患者医院感染现患率调查与分析
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摘要
目的了解医院感染现患率及其他医院感染管理指标情况,为提高医院感染管理水平提供科学依据。方法采取横断面调查方法,对调查日所有住院患者进行医院感染现患率调查。结果应调查住院患者1 150例,实查率100%。发生医院感染患者57例、62例次,现患率为4.96%、例次感染率为5.39%。有514例使用抗菌药物,抗菌药物使用率为44.70%;治疗性使用抗菌药物占61.09%,一联用药占85.21%。治疗性用药患者病原学标本送检率为46.50%,检出病原菌28株,革兰阴性杆菌占60.71%,革兰阳性球菌占35.71%。结论该医院住院患者医院感染现患率基本能反映实际,相关指标基本达标,应重点关注抗菌药物的合理使用。
Objective To understand the prevalence rate of nosocomial infection in the hospital and other infection management indicators,so as to provide scientific basis for improving the hospital infection management. Methods The cross-sectional survey was used to investigate the nosocomial infection prevalence of all the inpatients on the survey day. Results Totall of 1 150 cases of hospitalized patients were investigated and the actual investigation rate was 100%. 57 cases and62 case / times occurred,with the prevalence rate was 4. 96% and the case time infection rate was 5. 39%. There were 514 cases using antimicrobial agents and the antimicrobial drug use rate was 44. 70%. The therapeutic use of antimicrobial drugs accounted for 61. 09%,including 85. 21% of mono- drug use. The specimen submission rate of inpatients with medication was 46. 50%,and 28 strains of pathogens were detected. The gram negative bacilli accounted for 90. 71% and the gram positive cocci accounted for 35. 71%. Conclusion The nosocomial infection prevalence rate of this hospital can reflect actual condition and the relevant indicators are up to the basic standards. So the rational use of antimicrobial drugs should be focused.
Objective To understand the prevalence rate of nosocomial infection in the hospital and other infection management indicators,so as to provide scientific basis for improving the hospital infection management. Methods The cross-sectional survey was used to investigate the nosocomial infection prevalence of all the inpatients on the survey day. Results Totall of 1 150 cases of hospitalized patients were investigated and the actual investigation rate was 100%. 57 cases and62 case / times occurred,with the prevalence rate was 4. 96% and the case time infection rate was 5. 39%. There were 514 cases using antimicrobial agents and the antimicrobial drug use rate was 44. 70%. The therapeutic use of antimicrobial drugs accounted for 61. 09%,including 85. 21% of mono- drug use. The specimen submission rate of inpatients with medication was 46. 50%,and 28 strains of pathogens were detected. The gram negative bacilli accounted for 90. 71% and the gram positive cocci accounted for 35. 71%. Conclusion The nosocomial infection prevalence rate of this hospital can reflect actual condition and the relevant indicators are up to the basic standards. So the rational use of antimicrobial drugs should be focused.
引文
〔1〕王文爱,李转芬,于大巍,等.570例住院患者医院感染现患率调查结果分析[J].中华医院感染学杂志,2010,20(15):2202-2204.
〔2〕任南,徐秀华,吴安华,等.医院感染横断面研究报告[J].中华医院感染学杂志,2012,12(1):1-3.
〔3〕罗鑫,刘利君,李雪峰,等.重庆市某医院医院感染横断面调查[J].中国消毒学杂志,2014,31(1):48-49.
〔4〕喻玲丽,古丽夏提,王鹏,等.新疆维吾尔自治区11所医院住院患者医院感染现患率调查报告[J].中国消毒学杂志,2015,32(1):44-48.
〔5〕江涛.神经内科住院患者医院患者医院感染危险因素的多元回归分析[J].中华医院感染学杂志,2011,21(8):1538-1539.
〔6〕徐秀华.临床医院感染学(修订版)[M].长沙:湖南科学技术出版社,2005:813-814.
〔7〕刘绍德,莫永生,莫惠平,等.常见病原菌耐药性及抗菌药物不合理应用分析[J].中华医院感染学杂志,2007(1),17:81-82.
〔8〕沈志君.2007-2009年医院抗菌药物使用调查分析[J].中华医院感染学杂志,2010,20(12):1774-1775.
〔9〕邵剑春,胡大春,周玲,等.多重耐药阴沟肠杆菌院内垂直传播分析[J].中华医院感染学杂志,2008,18(10):1467-1470.
〔2〕任南,徐秀华,吴安华,等.医院感染横断面研究报告[J].中华医院感染学杂志,2012,12(1):1-3.
〔3〕罗鑫,刘利君,李雪峰,等.重庆市某医院医院感染横断面调查[J].中国消毒学杂志,2014,31(1):48-49.
〔4〕喻玲丽,古丽夏提,王鹏,等.新疆维吾尔自治区11所医院住院患者医院感染现患率调查报告[J].中国消毒学杂志,2015,32(1):44-48.
〔5〕江涛.神经内科住院患者医院患者医院感染危险因素的多元回归分析[J].中华医院感染学杂志,2011,21(8):1538-1539.
〔6〕徐秀华.临床医院感染学(修订版)[M].长沙:湖南科学技术出版社,2005:813-814.
〔7〕刘绍德,莫永生,莫惠平,等.常见病原菌耐药性及抗菌药物不合理应用分析[J].中华医院感染学杂志,2007(1),17:81-82.
〔8〕沈志君.2007-2009年医院抗菌药物使用调查分析[J].中华医院感染学杂志,2010,20(12):1774-1775.
〔9〕邵剑春,胡大春,周玲,等.多重耐药阴沟肠杆菌院内垂直传播分析[J].中华医院感染学杂志,2008,18(10):1467-1470.