我院医院感染现患率的调查与分析

Investigation of nosocomial infection prevalence in hospital

摘要:

目的通过现患率调查,发现医院感染管理中存在的问题,评价控制效果.方法进行统一培训,采用床旁调查和在架病历调查相结合的方法,填写统一的个案调查表,将调查日处于医院感染状态的病例进行统计分析.结果本次调查1 141人,现患率为6.40%,例次感染率为6.75%;感染部位依次为手术部位,下呼吸道,上呼吸道,胃肠道.结论降低抗菌药物使用率,加强重点科室病区的管理,加强前瞻性监测,控制医院感染的流行与暴发.

Abstract:

Objective: To evaluate the problems in the nosocomial infection management and control effect by the investigation of nosocomial infection (NI) prevalence. Methods: By combination of bed-side and medical records survey,questionnaires about NI cases in one day were filled and analysed. Results: 1141 patients were investigated, NI prevalence rate was 6.4%, case infection rate was 6.75%; the most common infection site was surgical site, followed by lower respiratory tract, upper respiratory tract and gastrointestinal tract. Conclusion: It should be paid attention to the rational use of antimicrobial agents,the management of key units should be strengthened,prospective surveillance should be stressed to prevent and control nosocomial infection.