住院患者医院感染率调查与分析

Investigation and analysis of hospital infection rates in hospitalized patients

目的了解医院感染特定时间的现患率,为医院感染的预防与控制提供科学依据。方法采用横断面调查的方法,对2014年8月8日住院的465例患者进行调查与统计分析。结果本次共调查住院患者465例,实查率100.00%;465例患者中,发生医院感染14例、15例次,感染率3.01%、例次感染率3.23%;抗菌药物使用率为35.27%,治疗性用药病原学送检率45.33%;感染部位以下呼吸道为主,占33.33%;检出感染的病原菌以鲍曼不动杆菌为主,占42.86%。结论医院感染现患率调查能真实反映医院感染在特定时间的现状和发展趋势,有利于发现医院感染管理工作中存在的问题,为医院感染管理人员有针对性地开展目标性监测、指导抗菌药物的合理使用及监控医院感染措施的落实提供可靠依据。

Objective To understand the hospital present infection rates at a specific time, and provide a scientific basis for prevention and control of hospital infection. Methods By the method of cross-sectional survey, 465 patients in our hospital in August 8, 2014 were investigated and statistically analyzed. Results This investigated 465 cases of hospitalized patients, the real check rate was 100.00%. In the 465 cases of patients, there were 14 cases and 15 case-times of hospital infection, and the hospital infection rate and case-times infection rate was 3.01%, 3.23% respectively; the antimicrobial use rate was 35.27%, and the therapeutic drug pathogen submission rate was 45.33%; the main parts of the infection was lower respiratory infection, accounting for 33.33%; the mainly detection of pathogens was Acinetobacter baumannii, accounting for42.86%. Conclusion The hospital present infection rate investigation can reflect the current situation and development trend of hospital infection at a specific time, which is conducive to the discovery of hospital infection management problems, and provide a reliable basis for the hospital infection management personnel target to carry out targeted monitoring, guide the rational use of antimicrobial agents and monitor the implementation of hospital infection measures.