中医院医院感染现患率调查与分析

Morbidity of Nosocomial Infection in Hospital of Traditional Chinese Medicine:An Investigation

目的了解住院患者医院感染基本情况,为进一步制定医院感染控制措施、有效开展目标性监测,提高医院感染管理技术水平提供科学依据。方法按全国医院感染监控网的要求,以专职人员为主,由经验丰富的临床医师和护士配合,采用床旁调查与病历调查相结合,将所有调查结果进行统计、分析。结果调查住院患者300例,医院感染例次感染率为2.67%;感染部位依次为皮肤软组织,占37.50%,术后伤口和胃肠道均占25.00%,动静脉插管感染,占12.50%;日抗菌药物使用率为40.67%,以一联用药(68.85%)和二联用药(30.33%)为主;治疗性使用抗菌药物病原菌送检率为14.58%。结论强化医院感染管理科职能,加强用药前标本送检率;注重抗菌药物合理使用,为有效开展目标性监测提供依据。

OBJECTIVE To provide some scientific foundation for working out measures of controlling nosocomial infection,and improving the management and administration concerning nosocomial infection.METHODS The study was based on the statistics and analysis on the data both from clinic observations and from the medical records of patients.It was mainly done by the professionals,cooperated with experienced clinicians as well as the nurses,following the requirements of the National Control Network of Nosocomial Infection.RESULTS Of the 300 patients investigated,the morbidity of nosocomial infection was 2.67%.The major sites to be infected and corresponding morbidity were as follows：skin soft tissue（37.5%）,wound after surgery （25.00%）,gastrointestinal tract（25.00%）,and catheterization infection of arteriovenous shunt（12.50%）.The daily rate of utilization of antimicrobials was 40.67%,among which ratio of the monotheraiy was 68.85% and the ratio of the double therapy was 30.33%.In addition,the ratio of detection of the pathogenic bacteria after antimicrobial treatment was 14.58%.CONCLUSION In conclusion,with the rapid and accurate investigation,the results of investigation can reflect actual situation of the morbidity of nosocomial infection in the Yili Hospital of Traditional Chinese Medicine and can be used as an important basis for reinforcing the management of the infection department in the issues including enhancing the detecting rate before antimicrobials used and helping them to use the medicines more scientifically.