医院感染现患率调查与分析

Investigation and analysis on prevalence rate of nosocomial infection

目的了解医院感染现患率情况。方法采用床旁调查与查阅住院病历相结合的方法,进行统计分析。结果调查住院患者870例,发生医院感染52例,现患率为5.98%,例次现患率为6.44%;高危科室为中心ICU、新生儿科、神经外科;感染部位依次是下呼吸道、手术伤口、皮肤和软组织;检出病原菌28株,以革兰阴性菌为主;抗菌药物日使用率43.33%。结论加强对高危科室目标检测,控制医院感染的发生。

Objective To comprehend the real condition of the prevalence of nosocomial infection （NI） in our hospital.Methods We got the data through bed-side examination, medical records and then made the statistic analysis.Results Among 870 investigated patients, 52 patients （5.98%） had 56 cases （6.44%） NI.ICU, neonates department and neurosurgery were the departments that with high risk.The common NI position were the lower respiratory tract, operative wound, skin and soft tissue; Gram-negative bacteria is the main pathogen bacteria in 28 ones.The antibiotic usage was 43.33%.Conclusions It is recommended that specific surveillance is conducted in the departments with high risk for nosocomial infection, in order to reduce the nosoeomial infection.