应用ABC分类控制法进行住院患者社区感染现患率调查

Investigation on prevalence rate of community infections by ABC classified control method for hospitalized patients in a hospital

目的了解医院住院患者在社区获得感染现状,并进行分类。方法应用现患率调查和ABC分类控制方法,对某中医院住院患者在社区获得感染的情况进行调查与分析。结果调查日该医院实查住院患者501例,诊断社区感染患者132例,现患率为26.35%。社区获得感染患者主要分布于妇科,占75.00%;其次为儿科和呼吸科。主要感染部位是下呼吸道、胆管胆囊和泌尿道,属于A类管理;A类菌群以链球菌、大肠埃希菌和白色念珠菌为重点病原菌。抗菌药物使用率为31.54%,其中治疗用药占62.03%,预防性用药占31.01%。结论以ABC分类控制方法调查,可将重点科室、重点环节、重点部位进行明确,提出重点防控措施。

Objective To explore and classify the status of community infection for hospitalized patients. Methods Cross - sectional survey and ABC classified control method were used to investigate and analyze the prevalence rate of community infections of hospitalized patients in a traditional Chinese medicine hospital. Results 501 patients were checked, and 132 patients（26.35% ） were found to suffer from the community infections. The highest infection rate （75.00%）was in department of gynaecology, followed by pediatric and respiratory departments. The lower respiratory tract, bile gall bladder and urinary tract infection were the primary infection sites which were belonged to a group of management. Streptococcus ,Escherichia coli,and Candida albicans were the key pathogen. Utilization ratio of antibacterial drugs was 31.54%. Of them therapy medication accounted for 62.03% ,preventive medicine accounted for 31.01%. Conclusion With ABC classified control method, we can find the key departments, key links and key sites, and focus on prevention and control measures.