1620例医院感染现患率调查结果与分析

Nosocomial Infection Investigation in 1620 Cases

目的了解全院医院感染现状以及抗菌药物使用情况。方法进行1 d内的临床病例调查,根据确定的调查日前,对调查人员进行统一培训,由患者主管医师统一填写已设置的个案调查表,医院感染专职人员审核。结果调查1620例住院患者,当日医院感染89例,现患率为5.49%,医院感染例次数96例次,现患例次率为5.93%;感染部位前3位分别为下呼吸道45例占48.88%,上呼吸道13例占13.54%,泌尿系统10例占10.42%,应用抗菌药物占36.98%,其中治疗用药322例占53.76%,预防用药207例占34.56%。结论加强医院感染的控制,规范部分科室抗菌药物使用行为。

OBJECTIVE To assess the current status of nosocomial infection and antibiotics utilization of the hospital. METHODS The hospital infection rate was investigated, by means of prevalence survey and investigation of bed-side and cases records. RESULTS Of the 1620 surveyed cases, the prevalence rate was 5.49% and the case prevalence rate 5.93%. And the top three infected sites were the lower respiratory tract, upper respiratory tract and urinary tract （48.88%, 13. 54% and 10.42% ,respectively）. The total number of antibiotic use was 599 casetimes. The incidence of antibiotic use was 36.9%. Of 322 cases, 53.76% was intended for active treatment, and 34.56 % for preventive regimen. CONCLUSIONS It is necessary to strengthen management of hospital infection and the management of clinical antibiotic usage in some wards.