医院感染现患率调查分析

Investigation and analysis on the prevalence of hospital acquired infections

目的调查医院感染发生情况,为改进医院感染监测方法及预防与控制措施提供依据。方法采用横断面调查的方法,对所有住院患者进行床旁询问并查阅在架病历,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。结果应调查住院患者620例,实际调查620例,实查率为100%,发生医院感染13例,医院感染现患率为2.1%;感染部位前五位分别为:下呼吸道(61.54%)、上呼吸道(15.38%)、泌尿道(7.69%)、手术部位(7.69%)、皮肤软组织(7.69%);抗菌药物使用率为49.52%,病原学送检率为65.58%。结论最常见的医院感染为下呼吸道感染,应加强对医院重点科室的目标性监测和下呼吸道感染的干预措施。

Objective To investigate the prevalence of HAIs in order to provide the basis for improving the surveillance method,the precaution and the control measures.Methods A cross-sectional investigation was undertaken,the bedside inquiry was made,and the medical records of all the hospitalized patients were referred to.The HAIs cases investigation schedule table was filled in.The infection information was analyzed.Results A total of 620 patients were surveyed and the actual investigated rate was 100%.Thirty patients with HAIs were detected and the prevalence was 2.1%.The top five HAIs were lower respiratory tract infection,upper respiratory tract infection,urinary tract infection,surgical site infection,skin-soft tissue infection,respectively.The rate of antibiotic use was 49.52%,and 65.58% of the infectious inpatients were delivered samples for pathogenic detection.Conclusion The most frequent HAIs is lower respiratory infection.Targeted surveillance to detect HAIs and intervention for preventing lower respiratory tract of infection should be enhanced.