2012年某院医院感染现患率调查

Prevalence of Nosocomial Infection in a Hospital,2012

目的了解某医院医院感染发生情况与影响因素,以改进医院感染发病率监测方法与医院感染预防与控制措施,降低医院感染率。方法 2012-03-18T0:00-24:00对所有住院患者进行调查,采取床旁调查和查阅病例相结合,填写统一的床旁调查表和个案病史调查表,对调查结果进行统计分析。结果应调查住院患者439例,实际调查425例,实查率为96.8%,医院感染现患率为4.0%,现患率前3位科室依次为重症监护科(ICU)(20.0%)、外一科(11.5%)和内一科(10.0%);感染部位以呼吸道为首位,占76.5%。调查当日抗生素使用率为48.9%。结论某医院2012年医院感染现患率虽然不高,但应进一步加强重点部位医院感染的监测,规范抗菌药物合理使用,不断降低医院感染率。

Objective To understand the hospital infection situation and influencing factors so as to improve hospital monitoring measures and lower the infection rates. Methods All the inpatients were investigated from 0 ： 00 to 24：00 on December 18 ,h, 2012 , and the investigation both by bed and case survey was performed, the result of which was statistically analyzed. Results Planed inpatients were 439 cases, and 425 were practically surveyed, with the actual check rate of 96. 8%. The prevalence rate of nosocomiai infection was 4. 2%. The top 3 infected departments were ICU （20%）, surgery department A （11.5%） and internal medicine A （10. 0% ）. The the part of infection was majorly respiratory tract. The antibiotics usage rate was 48.9% on the survey day. Conclusion It should strengthen the monitoring measures towards nosocomial infection in key departments and regulate the rational usage of antimicrobial agents, so that the nosocomial infection can be ef- fectively reduced.