某医院住院患者医院感染横断面调查结果分析

Analysis of results of the cross-sectional survey for inpatient nosocomial infection

目的了解某医院住院患者医院感染现状和抗菌药物使用情况,为加强医院感染管理提供参考。方法采用横断面调查方法,连续3年对某驻军医院住院患者进行医院感染现患率调查,评估医院感染管理现状。结果该医院2012-2014年连续3年住院患者医院感染现患率分别为3.95%、3.60%和2.82%。患者感染部位均以呼吸道感染居首位,占67.04%;其次是泌尿道感染,占9.73%。连续3年抗菌药物使用率分别为32.92%、22.50%和25.49%,呈现下降趋势;抗菌药物使用以一联用药和治疗性用药为主,预防性用药率下降。病原学标本送检率平均为49.81%。结论该医院住院患者医院感染现患率处于相关管理规范控制范围,抗菌药物使用趋于合理,需要关注某些重点科室医院感染管理薄弱环节。

Objective To understand the current situation on inpatient nosocomial infections and antimicrobial management situation in order to provide reference to strengthen nosocomial infection control.Methods A cross- sectional study was used to survey inpatients infection prevalence of a garrison hospital for three consecutive years to assess the status of nosocomial infection control.Results The yearly nosocomial infection rates were 3.95%,3.60% and 2.82% respectively in 2012- 2014.The site of infection in patients with respiratory infections ranked first accounting for 67.04%,followed by urinary tract infection accounting for 9.73%.Three consecutive years of antimicrobial drug utilization rates were 32.92%,22.50% and 25.49% respectively,showing a downward trend.Antimicrobial drug use was given priority to single antibacterials and therapeutic drug with preventive medication rate falling.The average pathogenic detection rate was 49.81%.Conclusion The nosocomial infection prevalence rate is in the control of related management practices and the use of antimicrobial drugs tends to be more rational.Some key departments of the nosocomial infection control weaknesses should be focused on.