三级精神病专科医院感染现患率调查分析

Prevalence rate of nosocomial infections in grade three psychiatric specialist hospital

目的了解住院精神病患者医院感染发病率及相关危险因素,发现医院感染管理中存在的问题和医院感染发生的特点,为加强医院感染的预防控制工作提供依据。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表,对调查日处于医院感染状态的住院病例进行统计分析。结果应查病例698例,实查698例,实查率100.00%;发生医院感染14例,医院感染现患率2.01%;感染部位以下呼吸道为主,危险因素主要为年老体弱、长期服用抗精神病药物、大量吸烟等。结论医院感染现患率调查能了解住院精神病患者医院感染的危险因素及发病情况,有利于发现医院感染管理工作中存在的问题,为制定医院感染监控措施,降低医院感染发生率提供可靠依据。

OBJECTIVE To understand the incidence and related risk factors of nosocomial infections in the hospitalized patients in the psychiatric hospital and to find out the exiting problems in the control of nosocomial infections and characteristics of nosocomial infections so as to provide basis for intensifying the prevention and control of nosocomial infections.METHODS The unified training was conducted for the investigators.By the combination of the bedside inquiry for medical records with the physical examination and frame records investigation,the unified questionnaires were filled out,and the statistical analysis was performed on the survey day for the hospitalized patients with nosocomial infections.RESULTS There were 698 patients who were expected to investigate and 698 patients who were actually investigated with the actual investigation rate of 100.00%.Nosocomial infections occurred in 14 patients with the prevalence rate of 2.01%.The lower respiratory tract was the main infection site.The aged,infirmity,long-term use of antipsychotics,and heavy smoking were the main risk factors.CONCLUSION The investigation of the prevalence of nosocomial infections can help to understand the risk factors and incidence of the nosocomial infections as well as to find out the problems existing in the nosocomial infection control so as to provide reliable basis for laying down the monitoring measures and reducing the incidence of nosocomial infections.