重庆地区医院感染现患率调查分析

A survey of point prevalence rate of nosocomial infection in Chongqing area

目的了解与掌握重庆地区住院患者医院感染的实际发病情况,增强医务人员医院感染防控意识,为制订医院感染监控措施提供依据。方法由重庆市医院感染控制中心于2010年组织对37所医院住院患者进行医院感染现患率调查,采用床旁调查与病历调查相结合的方法。结果共收到37所医院调查资料,经审核资料合格者35所;调查住院患者20 432例,占应查住院患者(20 595)的99.21%;发生医院感染985例,感染1 174例次,医院感染现患率为3.00%～8.00%者有23所;排在前4位的医院感染为呼吸道感染(56.47%)、泌尿道感染(9.12%)、手术切口与皮肤软组织感染(均为9.03%);重庆地区医院感染现患率平均为4.82%。结论医院必须加强对住院患者治疗的管理,加强抗菌药物的合理应用。

Objective To understand and master the actual incidence of nosocomial infection of inpatients in Chongqing area,enhance awareness of medical staff of infection prevention and control,and provide the basis for developing infection monitoring measures.Methods Point prevalence rate of nosocomial infection of inpatients in 37 hospitals was investigated using combination of bedside survey and case history survey.This investigation was organized by Chongqing center for hospital infection control.Results Among survey data received from total of 37 hospitals,qualified data were from 35 hospitals.20 432 inpatients were surveyed which accounted for 99.21% of total inpatients（20 595）.985 cases of nosocomial infection occurred with 1 174 times of infection,23 hospital possessed point prevalence rate of nosocomial infection of 3.00%-8.00%.The top four nosocomial infections were respiratory tract infection（56.47%）,urinary tract infection（9.12%） and surgical incisions and skin-soft tissue infection（9.03%）.Point prevalence rate of nosocomial infection was 4.82% in Chongqing area.Conclusion Hospitals need to strengthen the management of inpatients treatment as well as the rational utilization of anti-bacterial agents.