2008-2009年医院感染现患率调查分析

Prevalence Rate of Nosocomial Infection:An Investigation Analysis in 2008-2009

目的了解医院感染现患率,发现医院感染管理中存在的问题和医院感染发生的特点,增强医务人员医院感染控制意识,为制定科学的医院感染监控措施和提高医院感染管理水平提供依据。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表,对调查日处于医院感染的病例进行统计分析。结果 2008年医院感染现患率9.76%;例次感染率12.80%;医院感染标本微生物送检率22.50%;抗菌药物当日使用率58.40%;2009年医院感染现患率9.87%;例次感染率12.86%;医院感染标本微生物送检率76.74%;抗菌药物当日使用率50.82%;两年感染部位居第1位的是呼吸道感染,分别为53.75%和63.95%。结论两次现患率调查,发现了医院感染高危部位和高发科室,有助于我们今后制定感染控制规程,强化对医院感染高危科室的监督、检查和指导,提高病原学送检率,规范使用抗菌药物,有效控制医院感染发生。

OBJECTIVE To estimate the prevalence rate of nosocomial infection（NI） in our hospital,discover the hospital managment of NI,its problems and characteristics happening,and strengthen the knowledge about NI controlling consciousnessfor medical staff,to work out the scientific NI infection supervisory control and improve the managment of NI control level.METHODS With united training of staff,bedside collection of medical history and examination combining with checking clinical case history and filling the unified case questionnaire,to statistically analyze the NI cases at that surveyed day.RESULTS In 2008,the prevalence rate of NI was 9.76%,the case prevalence rate was 12.80%,the sample examination rate was 22.50%,and antibiotic adoption rate just after admission was 58.40% vs 9.87%,12.86%,76.74% and 50.82% in 2009.The respiratory tract was the main infected site,57.35% and 69.35% in the two years.CONCLUSIONS After the investigation for twice,the high risk sites and its frequently-occurring departments have been discovered.All of these can promote the regulation about the NI control,enhance the supervision,inspection and direction of the work in high risk NI departments and effectively control the occurrence of NI.