某院医院内感染现患率调查

Survey on prevalence rate of nosocomial infections in a hospital

目的 了解某院医院内感染发生现况和抗菌药物使用情况,为制订有效的医院内感染控制措施提供依据。方法 2015年7月14-17日0：00-24：00采用横断面调查、查阅病历和床旁调查相结合的方法对该院所有住院患者相关资料进行登记和统计、分析。结果 应调查住院患者346例,实查343例,实查率为99.13%,其中发生医院内感染7例,医院内感染现患率为2.04%（7/343）;住院患者抗菌药物使用率为56.27%（193/343）,治疗性抗菌药物使用病原学送检率为63.16%（96/152）。结论 该院医院内感染现患率较低,防控下呼吸道及泌尿道感染仍为重点控制方向,抗菌药物使用率及病原学送检率符合相关规定,但仍需加强管理,控制医院内感染的发生。

Objective To understand the occurrence status quo of nosocomial infections and use situation of antibacteri-al agents in a hospital to provide a basis for formulating effective nosocomial infections control measures. Methods All the rele-vant data of inpatients in our hospital during 0：00-24：00 in July 14-17,2014 were registered and analyzed statistically by adopt-ing the cross-sectional survey combining with bedside visiting and consulting medical records. Results In surveyed 346 inpa-tients,343 inpatients were actually investigated,with an actual check rate of 99.13%. The prevalence rate of nosocomial infections was 2.04%（7/343）;the use rate of antibacterial drugs in inpatients was 56.27%（193/343）,in the use of therapeutic antibacterial dugs,the pathogen detection rate was 63.16%（96/152）. Conclusion The nosocomial infection prevalence rate in this hospital is low,lower respiratory tract infection and urinary tract infection are still the key control direction. But the management still needs to be strengthened for controlling the occurrence of nosocomial infections.