2010年-2011年医院感染现患率及抗菌药物临床应用调查

Two-year investigation on Prevalence Rate of Nosocomial Infection and the Usage of Antibiotics

目的探讨加强抗菌药物合理应用管理后医院感染发生及分布的变化趋势,为实现循证管理提供科学依据。方法对2010年8月-2012年6月医院感染现患率调查结果进行比较分析。结果 2012年医院感染现患率为1.78%,与2010年的3.61%相比较,差异有统计学意义(P<0.05)。手术切口感染构成比由30.0%降为0.0%。抗菌药物使用率,由2010年的50.18%降至29.08%降低明显;2012年抗菌药物单联使用率为89.80%,较2010年71.22%明显提升,且无三联用药病例。结论规范抗菌药物临床应用后,医院感染现患率明显降低,防控医院感染取得了显著成效。

Objective To investigate the incidence and distribution change tendency of nosocomial infection aider management strengthening on antibiotics and to provide a basis for evidence-based management. Methods Comparison and analysis were carried out on the prevalence rate of nosocomial infection from August 2010 to June 2012 in our hospital. Results The prevalence rate of nosocomial infection in 2012 was 1.78%. Compared with the prevalence rate in 2010 （3.61%）, the difference had statistical significance （P 〈 0.05）. The nosocomial infection rate of surgical incision reduced to zero from 30%. The usage of antibiotics reduced to 29.08% from 50.18%. The single usage of antibiotics in 2012 was 89.80%, increasing from 71.22% in 2010. And there was no usage of a combination of three kinds of antibiotics at the same time. Conclusions The prevalence rate of nosocomial infection decreases after the specification of the usage of antibiotics. The result of the prevention and control on nosocomial infection is significant.