2008-2009年广西妇幼保健院医院感染现患率调查结果与分析

Investigation of nosocomial infection prevalence in Maternal and Child Health Hospital of Guangxi in 2008 and 2009

目的通过分析两次医院感染现患率调查资料,总结本医院感染现患率,为提高医院感染管理水平提供科学依据。方法对2008年11月25日、2009年11月26日两次医院感染现患率调查全部采用床旁及查阅住院病历相结合的方法。结果 2008、2009年两次感染现患率分别为1.75%、3.11%;医院感染部位以上呼吸道为主,占35.00%,其次为胃肠道和手术切口感染;抗菌药物使用率分别为76.50%、74.50%,一联用药构成比上升,二联、三联用药构成比下降;2009年侵入性操作较2008年有所增加,主要为泌尿道插管。结论继续加强抗菌药物的管理力度,加强重点科室病区的管理,加强前瞻性监测,防止医院感染的流行与暴发。

OBJECTIVE To gain an overview of the prevalence of hospital inefction and strengthen the management of nosocomial infection by analyzing two epidemic investigations of nosocomial infection scientificly.METHODS Both investigations were carried out by bedside exams as well as medical record review.RESULTS 2 prevalence rates are 1.75% and 3.11%,with the most common infection site as upper respiratory（35%）,followed by gastro intestine infectiona and surgical incision infection.Most cases occurred in departments of surgical and neonatology.Application rates of antibiotics are 76.5% and 74.5%.Proportion of single drug therapy shows increase while that of 2-drug therapy and 3-drug therapy decline.More invasive operations were seen in 2009 than 2008,with urinary tract intubation as the most common cases.CONCLUSION Stricter control of antibiotics,more effective management of important departments and ward areas of the hospital,better prospective surveillance are needed to prevent nosocomial infection prevalence or outbreak.