2011年度成都三六三医院医院感染现患率调查分析

Survey on Point Prevalence Rate of Nosocomial Infection in 363 Hospital of Chengdu in 2011

目的为贯彻落实卫生部《医院感染管理办法》、《抗菌药物合理应用指导原则》,了解成都三六三医院医院感染的现状,对医院感染控制工作进行评价,提高医务人员的感染控制意识。方法制定统一调查方案与措施,逐一查看2011年9月21日全院住院患者在架病历,对全院住院患者通过床旁询问和体检的方式进行调查。结果全院共有住院患者621例,实查621例,实查率100%。发生医院感染19例,现患率为3.06%。抗生素使用率46.38%。病原学送检率21.88%。结论加强医务人员医院感染知识的培训是提高其医院感染防控意识的重要手段;提高感染患者病原学送检率,减少经验性用药,依据药敏结果合理使用抗生素,达到有效减少耐药菌产生的目的。

Objective To implement the Management Approach of Nosocomial Infection Control and Guiding Principles of Rational Use of Antibiotics,to find out the status of nosocomial infection in 363 hospital of Chengdu,to evaluate hospital infection control work,in order to improve the medical staff’s awareness of infection control.Methods By drafting unified survey programs and measures,we examined all case histories of hospitalized patients and investigated them through physical examinations and bedside inquiries on September 21st,2011.Results A total of 621 patients were surveyed with an actual investigation rate of 100%.Nineteen patients had nosocomial infection,and the point prevalence rate of nosocomial infection was 3.06%.The usage rate of antimicrobial agents was 46.38% and sample detection rate was 21.88%.Conclusions According to the result of the survey on point prevalence rate of nosocomial infection,the knowledge of hospital infection prevention and control should be strengthened,sample detection rate should be increased,and empirical using of antimicrobial agents should be reduced to achieve the purpose of effectively reducing multiple resistant bacteria.