某民营医院住院患者医院感染现患率调查

Investigation on the infection prevalence rate of the patients in a private hospital

目的了解民营医院住院患者医院感染现状,评价感染防控措施落实效果。方法采用横断面调查方法,对某民营医院住院患者医院感染现患率及医院感染相关指标进行调查。结果调查当日实际住院患者783例,实际调查777例,实际调查率为99.23%。查出医院感染患者19例、24例次,医院感染率为2.45%、例次感染率为3.09%。调查日抗菌药物使用率为34.75%,感染患者病原学标本送检率为62.5%,检出的病原菌主要是肺炎克雷伯菌、铜绿假单胞菌和大肠埃希菌。结论该民营医院住院患者医院感染现患率在可控范围,医院感染管理存在薄弱环节,应加强耐药菌监测和药敏试验率。

Objective To understand the infection status of the patients in the private hospital, so as to evaluate the worka- ble effect of the control and prevention measures. Methods The cross sectional study was used to investigate the preva- lence rate about the patients in the hospital and the interrelated indications of the infection in the private hospital. Results There were 783 cases inpatients on the day investigated and 777 cases were actually investigated, the actual investigation rate of 99. 23%. 19 cases （24 case/times） of hospital infections were found and the infection rate was 2.45%, the infec- tion case/time rate was 3.09%. On the investigated day, the usage rate of antimicrobial drugs was 34. 75% , the delivered bacteria examination rate of the infected patients＇ pathogenic samples was 62. 5%. The main bacteria detected were Kleb- sieUa pneumonia, Pseudomonas aeruginosa and Escherichia coll. Conclusion The prevalence rate of hospital infection a- bout the patients in the private hospital is in the controllable range. The infection management of the hospital has weak link, so the drug resistance monitoring and drug sensitive test should be enhanced.