某县级综合性医院的医院感染现患率调查

INVESTIGATION ON THE PREVALENCE RATE OF NOSOCOMIAL INFECTION IN COUNTY'S COMPREHENSIVE HOSPITAL

目的了解县级医院住院患者医院感染现状及其变化趋势，为加强基层医疗结构医院感染管理提供科学依据。方法采用横断面调查方法，选择2012年11月15日对某县级医院住院患者医院感染现患率进行调查，并与之前的2年现患率作比较分析。结果2010—2012年3次调查住院患者医院感染现患率分别为4．34％、2．83％和3．83％，以呼吸道感染居首位。该医院住院患者抗菌药物使用率波动在64．36％～47．78％；病原学标本送检率均超过50％。结论某县级医院住院患者医院感染现患率接近国内平均水平，抗菌药物应用基本合理。

Objective To analyze the status and trends of hospital infection so as to provide a scientific basis for hospital infection prevention and control. Methods The cross -sectional survey and clinic diagnosis were used to survey the noso- comial infection of all in -patients who were in hospital on Nov 15th 2012, compared to the rate of year 2010 and 2011. Results The prevalent rates from year 2010 to 2012 were 4.46%, 2. 72% and 3.83% respectively and the disease rate of respiratory infection took the top place. The using rate of antimicmbial drug fluctuated from 64. 36% to 47. 78% and the etiology specimen inspection rate was more than 50%. Conclusion The inpatient hospital infection rates are closed to the national average and the application of antimicrobial drug is reasonable.