某医院2014年医院感染横断面调查

Cross- sectional survey and analysis on nosocomial infection in some hospital in 2014

目的了解医院住院患者医院感染基本情况,为医院感染管理的持续改进提供依据。方法采用横断面调查方法,对某医院住院患者医院感染现患率进行调查与分析。结果调查当日该医院有住院患者2 011例,实查率为99.8%。查出医院感染患者73例、80例次,医院感染现患率为3.64%、感染例次率为3.98%。医院感染病人主要集中于外科系统,感染部位居前3位分别为下呼吸道、泌尿系和手术部位感染。抗菌药物使用率为32.10%,治疗性使用抗菌药物患者病原学标本送检率为62.30%。医院感染病原菌主要为铜绿假单胞菌、肺炎克雷伯菌和金黄色葡萄球菌。结论该医院住院患者医院感染现患率在规范控制范围内,感染患者主要集中在外科系统,提示应重点加强外科消毒隔离工作。

Objective To know the present situation of the infection in our hospital so as to provide theoretical basis for the continuous improvement of hospital infection management. Methods Using cross - sectional survey method,the nosoeomial infection rate for patients was surveyed and analyzed. Results There were 2011 patients in the hospital on the investigation day, and 99.8% patients were surveyed. There were 73 nosoeomial infection patients. The rate of nosoeomial infection was 3.64% ,and the infection rate of eases was 3.98%. The surgery systems got the highest rate. Nosocomial infections occurred mainly in the lower respiratory tract, urinary tract and surgical site. Antibacterial drug utilization rate was 32.10%. The bacterial examination rate of inpatient treatment was 62.30%. The main pathogen bacteria of nosocomial infection were Pseudomonas aeruginosa,Klebsiella pneumoniae and Staphylococcus aureus. Conclusion The hospital infection rate is in control. Infections mainly occur in the surgical system,which prompts surgical disinfection and isolation work should be focused on.