综合性医院的医院感染现患率调查分析

Nosocomial infection prevalence rate in general Hospital

目的调查医院感染现状及抗生素使用情况,以便对医院感染控制工作进行评价与实施干预。方法采用床旁调查及查阅病例相结合的横断面调查方法 ,对2009年9月16日0：00-24：00所有住院患者进行医院感染现患率调查,并与2009年9月临床医师上报医院感染情况相比较。结果共调查717例,发生医院感染36例,医院感染现患率为5.02%,感染例次率为5.30%。医院感染部位主要为下呼吸道13例（34.21%）,泌尿道感染6例（15.79%）,切口感染6例（15.79%）,上呼吸道5例（13.16%）。抗菌药物使用率为47%。结论医院感染现患率调查快捷有效,结合日常连续性监测平均值进行统计、综合分析,可反映出导致医院感染的危险因素,为制定医院感染目标性监测及干预措施提供科学依据。

Objective To analyze the relation between nosocomial infection prevalence rate and general infection rate.Methods The nosocomial infection prevalence rate was investigated.All the data was gained through bed-side examination and medical recorders.Results The rate of nosocomial infection was 5.02%.The sites of the infection were lower respiratouy tract（34.21%）,urinary tract（15.79%）,surgical incision（15.79%）and upper respiratory tract（13.16%）.The rate of antibiotics was 47.14%.Conclusions Continuous monitoring can provide accurate evidence to find measures for nosocomial infection prevention,control and to define monitor objectives.