2010年内蒙古不同规模医院医院感染横断面调查分析

Cross-sectional survey of nosocomial infections in different scale hospitals of Inner Mongolia in 2010

目的调查分析内蒙古不同规模医院的医院感染及抗菌药物使用,以指导临床主动采取干预措施,降低医院感染率。方法采用床旁调查与病历调查相结合,调查40所医院住院患者的现患率。结果 40所医院住院患者现患率为2.54%;内蒙古不同规模医院抗菌药物使用率为:床位<300张医院,抗菌药物使用率最高,达61.60%,床位300～599、600～899、≥900张医院抗菌药物使用率为51.22%、41.51%、49.67%;床位<300张医院的Ⅰ类手术患者预防用药率最高,达72.66%,床位300～599、600～899、≥900张医院预防用药使用率为60.88%、65.17%、48.76%;床位≥900张医院治疗使用抗菌药物病原菌培养送检率最低,为9.54%,其次为床位<300张医院。结论加强各级医院医务人员培训,提高病原菌送检率,合理使用抗菌药物,可以有效减少医院感染的发生。

OBJECTIVE To investigate the nosocomal infections in different scale hospitals in Inner Mongolia and the use of antibiotics so sa to take actine interventions and reduce the incidence of nosoeomial infections. METHODS By the method of medical record survey combined with the bedside survey, the prevalence rate of nosocomial infections in 40 hospitals of Inner Mongolia was investigated. RESULTS The prevalence rate of nosocomial infections in 40 hospitals was 2.54%. The highest constituent ratios of use of antibiotics in different scale hospitals of Inner Mongolia was in the hospitals of less than 300 beds, it was 61.60%. The constituent ratios of usage of antibiotic in the hospitals of 300- 599 beds was 51.22 %, it was 41.51% in the hospitals of 600 -899 beds, and 49. 67% in the hospitals of more than 900 beds. The highest constituent ratios of usage of prevention antibiotic of type I operation in 1089 patients was in the hospitals of less than 300 beds, it was 72.66%. It was 60.88% in the hospitals of 300-599 beds, 65. 17≥ in the hospitals of 600-899 beds and 48.76% in the hospitals of more than 900 beds; the lowest submission rate of bacterial culture was in the hospitals of more than 900 beds, which was 9.54% , followed by the hospitals of less than 300 beds. CONCLUSION To strengthen the training of medical staff, raise the submission rate of the pathogens, and reasonably use antibiotics can effectively reduce the nosocomial infections.