某医院住院患者医院感染现患率调查
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摘要
目的了解医院住院患者医院感染现状,为加强医院感染防控提供参考。方法采用横断面调查方法,对某医院住院患者医院感染现患率进行调查。结果调查当日共有住院患者1 960例,实查1 960例,实查率100%。共计查出医院感染233例,其中社区获得感染139例,医院内获得感染94例,医院感染现患率为4. 8%。医院感染主要分布在重症监护病房(ICU)和有创性手术科室。医院感染部位所占比重居前3位的是下呼吸道、器官腔隙和尿管相关感染。患者抗菌药物使用率为21. 43%,一联用药占73. 33%,治疗用药占89. 29%。结论该医院住院患者医院感染现患率在规范控制范围内,应加强目标监测和采取针对性防控措施。
Objective To know the nosocomial infection status of inpatients in hospital and provide reference for strengthening hospital infection control and prevention. Methods Cross-sectional survey was used to investigate the prevalence rate of nosocomial infection in a hospital. Results A total of 1 960 inpatients were all admitted to the hospital on the day of the survey. And 233 patients of nosocomial infections were detected,including 139 community infections and 94 nosocomial infections. The current nosocomial infection prevalence rate was 4. 8%. Departments with high incidence of infection were mainly ICU and invasive surgery departments. The proportion of nosocomial infection sites in the top 3 was the infection related to the lower respiratory tract,organ space and urinary tract. The utilization rate of antibiotics was 21. 43%. The main drugs were single drug( 73. 33%) and therapeutic drug( 89. 29%). Conclusion The prevalence rate of nosocomial infection among inpatients in this hospital is within the scope of standard control. It can effectively control the occurrence of nosocomial infection by strengthening the target monitoring and taking prevention and control measures for key tips.
Objective To know the nosocomial infection status of inpatients in hospital and provide reference for strengthening hospital infection control and prevention. Methods Cross-sectional survey was used to investigate the prevalence rate of nosocomial infection in a hospital. Results A total of 1 960 inpatients were all admitted to the hospital on the day of the survey. And 233 patients of nosocomial infections were detected,including 139 community infections and 94 nosocomial infections. The current nosocomial infection prevalence rate was 4. 8%. Departments with high incidence of infection were mainly ICU and invasive surgery departments. The proportion of nosocomial infection sites in the top 3 was the infection related to the lower respiratory tract,organ space and urinary tract. The utilization rate of antibiotics was 21. 43%. The main drugs were single drug( 73. 33%) and therapeutic drug( 89. 29%). Conclusion The prevalence rate of nosocomial infection among inpatients in this hospital is within the scope of standard control. It can effectively control the occurrence of nosocomial infection by strengthening the target monitoring and taking prevention and control measures for key tips.
引文
[1]中华人民共和国卫生部.医院感染诊断标准(试行)[S].2001.
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[13]蒙巍,刘翔,郭勇.991例医院现患率调查与分析[J].内蒙古中药,2012,31(19):96-97.
[14]吴小燕,战榕,曾邦伟,等.福建省116所医院医院感染与社区感染现患率调查[J].中国感染控制杂志,2011,10(3):181-184.
[15]张建勇,崔霞,戴冬梅,等.2003-2007年综合医院医院感染率调查分析[J].中华医院感染学杂志,2009,19(17):2261-2263.
[16]吴勇辉,周金菊.医院现患率调查与合理使用抗菌药物情况分析[J].北方药学,2013,10(5):140.
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[2]国家卫生和计划生育委员会.医院感染管理质量控制指标[S].2015
[3]任南,文细毛,吴安华.全国医院感染横断面调查结果的变化趋势研究[J].中国感染控制杂志,2007,6(1):16-18.
[4]卓宝华.医院感染横断面调查与报告[J].中国卫生标准管理,2018,9(4):124-126.
[5]任南.2014年全国医院感染横断面调查报告[J].中国感染控制杂志,2016,15(2):83-87.
[6]石娜,徐卫,薛利霞,等.恶性肿瘤患者医院败血症危险因素的病例对照研究[J].中华医院感染学杂志,2009,19(11):1358-1359.
[7]王靖,杨爱芝,赵应兰,等.医院感染重点科室现患率调查结果与分析[J].护士进修杂志,2011,26(18):1668-1669.
[8]陈志林,刘建莉,郑盼盼,等.ICU患者导管相关感染的影响因素及病原学特点研究[J].中华医院感染学杂志,2018,28(21):3249-3252.
[9]商丽妍,吴菲.ICU医院感染目标性监测与危险因素分析[J].大连医科大学学报,2018,40(5):450-453,468.
[10]吴海青,计幼苗,毛美蓉,等.手术室医院感染的发生风险因素回顾性分析及控制策略探讨[J].中国卫生检验杂志,2018,28(19):2395-2398.
[11]解晓曦.2016年宝鸡某医院感染现患率调查和分析[J].人人健康,2017,16(3):242.
[12]Richards M,Thursky K,Buising K.Epidemiology,prevalence,and sites of infections in intensivecare units[J].Semin Respir Crit Care Med,2003,24(1):3-22.
[13]蒙巍,刘翔,郭勇.991例医院现患率调查与分析[J].内蒙古中药,2012,31(19):96-97.
[14]吴小燕,战榕,曾邦伟,等.福建省116所医院医院感染与社区感染现患率调查[J].中国感染控制杂志,2011,10(3):181-184.
[15]张建勇,崔霞,戴冬梅,等.2003-2007年综合医院医院感染率调查分析[J].中华医院感染学杂志,2009,19(17):2261-2263.
[16]吴勇辉,周金菊.医院现患率调查与合理使用抗菌药物情况分析[J].北方药学,2013,10(5):140.
[17]杨超.某三甲医院围手术期预防使用抗菌药物的单病种管理现状分析[D].云南昆明:昆明医科大学,2014.