住院精神病患者院内感染现患率的调查

Prevalence rate survey of nosocomial infection in patients in a psychiatric hospital

目的:对精神病患者住院期间院内感染状况进行调查,为确定防控重点提供依据。方法:采取横断面调查方式,对2012年5月8日当天所有的住院患者的院内感染现患率进行调查与分析。结果:调查当日该院共有住院患者576例,实查561例,实查率为97.39%;发生医院感染19例,医院感染现患率为3.38%;感染部位构成比以患者下呼吸道感染为主,占47.37%,其次是泌尿道感染;感染患者主要分布在老年科、爱心病区;抗菌药物使用率为14.97%,以一联和二联用药为主。结论:医院感染现患率调查可基本反映医院感染状况,根据其结果,可有效地开展医院感染目标性监测和采取预防控制措施,从而不断地减少或降低医院院内感染率。

Objective：To survey the status of nosocomial infections of inpatients in a psychiatric hospital, providing a basis for the key prevention and control. Methods： A across-sectional survey of the hospital in May 8, 2012 was done, and the prevalence rates of all inpatients with nosocomial infections were investigated and analyzed. Results：On that day, there were a total of 576 cases of hospitalized patients, in which 561 cases were investigated with a ratio of 97. 39%;19 cases developed hospital acquired infections with a prevalence rate of 3. 38%. The main infection sites was lower respiratory tract, accounting for 47. 37%, followed by urinary tract infection. The infections were mainly distributed in the geriatric ward and love ward;and the antibacterial drug utilization rate was 14. 97%, mainly single drug and two-dug combination. Conclusions：Prevalence survey of nosocomial infection can basically reflect the hospital infections. Based on that, hospital infection objective surveillance and preventive control measures can be effectively car-ried out so as to constantly reduce or decrease the rate of hospital infections.