某医院住院患者医院感染现患率调查

Investigation on the prevalence rates of nosocomial infection in a hospital

目的了解住院患者医院感染发生情况,为进一步做好医院感染控制工作提供依据。方法采用横断面调查方法,对某医院连续3年住院患者医院感染现患率进行调查。结果该医院分别在2013-2015年连续3年均在7、8月份进行医院感染现患率调查,实查率均在96.00%以上,医院感染现患率依次为1.46%、0.97%和1.20%。连续3年调查患者医院感染部位均以下呼吸道为首位,其次是上呼吸道和泌尿系。住院患者抗菌药物使用率均低于50.00%,且一联用药比例均超过76.00%;治疗性用药患者病原学标本送检率为23.30%~41.88%,呈上升趋势。结论该医院住院患者医院感染现患率较低,抗菌药物使用比较合理,但病原学标本送检率偏低。

Objective To know the actual incidence of nosocomial infection of our hospital, in order to provide the basis for the work of hospital infection control. Methods The cross - sectional survey was used to investigate the nosocomial infection prevalence in our hospital inpatients for three consecutive years. Results Our hospital carried out the investigation of infection from 2013 to 2015 and the time focused on July and August every year. The actual investigation rates were more than 96.00%. The prevalence rate of nosocomial infection was 1.46% ,0.97% and 1.20% respectively. The mainly infec- tion site was lower respiratory tract ,which followed by upper respiratory tract and urinary system in recent three years. The usage rates of antimicrobial drugs were all less than 50.00% and the proportion of single medication was more than 76.00%. The rate of delivery of pathogens in patients with therapeutic medication was 23.30% -41.88%, which showing an increasing trend. Conclusion The hospital infection rate of our hospital is relatively lower, and the use of antimicrobial drugs is reasonable. But the pathogen specimen delivery rate is low.