1348例医院感染现患率及抗菌药物应用调查分析

Investigation and analysis of prevalence rate of nosocomial infections in 1348 patients and use of antibiotics

目的了解医院住院患者的医院感染和抗菌药物使用情况,分析主要病原菌的检出及耐药性。方法采用床旁调查与病历调查相结合的方法,填写调查表,再进行汇总、整理和分析。结果实查患者1348例,实查率为99.70%,院内感染30例,感染现患率为2.23%,社区感染374例,现患率27.74%;感染部位以上、下呼吸道感染为主,分别占20.00%、43.30%,抗菌药物使用率为55.56%,治疗性使用抗菌药物病原学送检率为55.85%。结论医院2011年医院感染现患率与2010年相比处于稳定状态,需继续加强医院感染管理科管理职能、提高医务人员感染控制意识和病原学送检率,加强抗菌药物合理应用是有效控制医院感染发生的重要手段。

OBJECTIVE To investigate the prevalence rate of nosocomial infections and the application of antibiotics and analyze the detection of the main pathogens and the drug resistance. METHODS By means of bedside investigation and the review of the medical records, the questionnaire was filled out,the data were summarized and analyzed. RESULTS Totally 1348 cases of patients were actually investigate with the actual investigation rate of 99.70%,and the prevalence rate of nosocomial infections was 2. 23% （30 cases）, there were 374 cases with community acguried in fections with the prevalence rate of 37.74%. The upper respiratory tract and the lower respiratory tract were the main infection sites, accounting for 20. 00% and 43. 30%, the utilization rate of antibiotics was 55. 56%, and the submission rate of etiology for therapeutic use of antimicrobial agents was 55.85%. CONCLUSION The prevalence rate of nosocomial infections remains stable in 2011 as compared with 2010. To strengthen the administration function of the infection control department, to improve the awareness of the medical staff of the infection control and the submission rate of etiology and to strengthen the reasonable use of antibiotics are the effective measures to control the nosocomial infections.