某肿瘤医院患者医院感染现患率与发病率监测分析

Monitoring of morbidity and prevalence rate of nosocomial infection for inpatients in a tumor hospital

目的了解肿瘤医院患者医院感染情况,为科学评价和合理干预提供依据。方法对某肿瘤医院患者2014年和2015年医院感染现患率与同年医院感染发病率进行统计分析。结果该肿瘤医院近两年同期医院感染现患率为7.66%,医院感染发病率控制在1.84%和2.42%,以呼吸道感染为主,抗感染药物日使用率为25.56%,并且以治疗性用药和一联用药为主,2015年较2014年稍有下降但是抗感染药物应用病原菌送检率上升。结论肿瘤医院患者医院感染现患率和医院感染发病率均高于综合性医院,评价医院感染管理现状和控制成效应建立在相同的监测方法上和具有可比性的监测对象基础上,降低医院感染现患率和医院感染发病率应针对性采取控制措施。

Objective To understand status of nosocomial infection for inpatients in tumor hospital comprehensively,so as to provide basis for scientific evaluation and reasonable intervention. Methods The data of morbidity and prevalence rate of nosocomial infection in a tumor hospital from Oct. 2014 to Sept. 2015 were analyzed retrospectively. Results The prevalence rate of nosocomial infection in this hospital was 7. 66%,and the morbidity of nosocomial infection of two years was1. 84% and 2. 42% respectiveig. The top infection site in morbidity was respiratory tract,which accounted for 57. 74%. The daily usage rate of anti- infection drug was 25. 56%,which was mainly used for treatment and non- jointly. It was slightly decreased in 2015 compared with in 2014 but the rate of pathogen committed for detection increased. Conclusion The prevalence rate and the morbidity Nosocomial infection is higher than that in general hospital infection in corresponding period,so evaluation on status and control effect about nosocomial infection management should be based on the same monitoring method and comparable monitoring object. Control measures to reduce the prevalence rate and morbidity of nosocomial infection should be targeted.