摘要
目的了解上海某医院住院患者医院感染状况及抗菌药物的使用情况,为医院感染预防与控制提供依据。方法采用横断面调查的方法,对某医院所有住院患者医院感染及相关因素进行调查与分析。结果调查该医院住院患者684例,发生医院感患者39例,医院感染现患率为5.70%。患者感染部位中,呼吸道感染占69.23%,其中53.85%为下呼吸道感染;泌尿道占15.38%。共分离出病原菌15株,金黄色葡萄球菌、铜绿假单胞菌、肺炎克雷伯菌和肠球菌居前4位。调查当日抗菌药物使用率为38.60%,治疗性用药患者病原学标本送检率为44%。结论该医院住院患者医院感染现患率较高,需加强高危科室、高危人群的医院感染管理。
Objective To understand the status of nosocomial infection and the use of antibiotics in a hospital in Shang- hai, so as to provide basis for the prevention and control of hospital infection. Methods The cross - sectional survey was used to investigate all patients with nosoeomial infections and related factors. Results 39 eases were infected in 684 pa- tients investigated, with the prevalence rate of nosocomial infection 5.70%. The respiratory tract was the predominant in- fection site （69.23%）, and the lower respiratory tract infections accounted for 53.85% ; followed by urinary tract infec- tions （ 15.38% ）. A total of 15 strains of pathogens were isolated, the top four species were methieillin - resistant Staphylo- coccus aureus, Pseudomonas aeruginosa, Klebsiella peneumoniae and Enterococcus. The usage rate of antibiotics was 38.60%, and the submission rate of etiology for therapeutic medication was 44%. Conclusion The prevalence rate of nosocomial infection in patients in the hospital is high. It＇ s necessary to strengthen the management of departments and population at high risk of nosocomial infections.
出处
《中国消毒学杂志》
CAS
北大核心
2014年第3期256-257,261,共3页
Chinese Journal of Disinfection
关键词
医院感染
现患率
呼吸道感染
调查
nosocomial infections
prevalence rate
respiratory tract infection
survey
