某大型中医医院住院患者医院感染现患率调查

Investigation of prevalence rate of nosocomial infections in hospitalized patients in a large hospital of traditional Chinese medicine

目的了解中医医院住院患者医院感染的发生状况,结合中医院特点做好医院感染控制工作。方法采取横断面调查方法,对某中医医院住院患者医院感染现患率进行调查与分析。结果调查当日实查该医院住院患者618例,查出医院获得感染15例,感染现患率为2.43%;社区获得感染130例,感染现患率为21.04%。医院内感染患者主要分布在肾病科、烧伤泌尿外科和耳鼻喉科,构成比依次为16.67%、8.57%和8.33%;130例社区获得感染患者主要分布在儿科、烧伤泌尿外科和社区病房,构成比依次为为89.06%、34.29%和33.33%。均以呼吸道感染为主,分别占60.00%和70.77%。调查日抗菌药物使用率34.14%,治疗用药患者病原学标本送检率为12.73%。结论中医院住院患者医院感染以社区获得性感染为主,该医院使用抗菌药物的患者病原学标本送检率偏低。

Objective To investigate infection status in hospitalized patients of the traditional Chinese medicine hospital so as to combine with the characteristics of traditional Chinese medicine hospital for controlling work of nosocomial infection.Methods The cross- sectional survey method was used to investigate and analyze the hospital infection prevalence rate（ including nosocomial infection and community- acquired infection） of hospitalized patients in a Traditional Chinese medicine hospital. Results 618 cases of hospital patients were investigated on the actual day of the survey,and 15 cases of nosocomial- acquired infection were detected. The infection prevalence rate was 2. 43%. 130 cases of community- acquired infection were detected,and the infection prevalence rate was 21. 04%. Nosocomial infections mainly occurred in Nephrology,Burns and Urology and ENT,which accounted for 16. 67%,8. 57% and 8. 33% respectively. 130 cases of community-acquired infection were mainly distributed in the pediatric department of Urology,burn ward and community,constituent ratios were 89. 06%,34. 29% and 33. 33% respectively. As for the infection sites,respiratory tract was the most common infection site in nosocomial infected patients（ 60%） as well as in community- acquired infected people（ 70. 77%）. The average usage rate of antibacterial agents was about 34. 14% on the survey day,and the examination rate of pathogens among patients with antibacterial agents for treatment was 12. 73%. Conclusion The prevalence rate of community- acquired infection among hospitalized patients in the traditional Chinese medicine hospital is high. Examination rate of pathogens among patients with antibacterial agents for treatment is low.