某儿童医院医院感染现患率调查

Investigation on prevalence rate of nosocomial infection in a children's hospital

目的了解儿童专科医院住院患儿医院感染情况,为有效预防医院感染提供科学依据。方法采用横断面调查方法,对某儿童医院2016年9月1日的住院患儿进行医院感染现患率的调查。结果调查当日实际调查住院患儿1 020例,发生医院感染15例、16例次,医院感染现患率为1.47%,例次感染现患率为1.57%。现患率居前三位的科室依次为血液肿瘤科、中西医结合科和综合重症监护病房,现患率依次为9.09%、4.17%和3.70%。医院感染部位以呼吸道和肠道感染率较高,分别为43.75%和25.00%。调查当日住院患儿抗菌药物使用率为60.10%,抗菌药物使用前病原标本送检率为69.49%。结论该医院住院患儿医院感染现患率以血液肿瘤科为高发科室,抗菌药物使用率偏高,应强重点科室感染管理。

Objective To investigate the current status of nosocomial infection in a children＇s hospital,so as to provide scientific basis for prevention of nosocomial infection. Methods The prevalence rate of nosocomial infection among children who hospitalized in a children ＇s hospital was investigated by cross-sectional method on September 1,2016.Results A total of 1 020 hospitalized children were investigated,15 patients developed 16 times of nosocomial infection,the prevalence rate and prevalence case rate of nosocomial infection were 1. 47% and 1. 57% respectively. The department with the highest prevalence rate was the department of hematology and oncology（ 9. 09%）,followed by the department of integrated traditional chinese and western medicine（ 4. 17%） and ICU（ 3. 70%）. The main infection sites were respiratory tract（ 43. 75%） and intestines（ 25. 00%）. The rate of antimicrobial agents usage was 60. 10%. The submission rate of pathogens before using antimicrobial agents was 69. 49%. Conclusion The department with the highest prevalence rate was the department of hematology and oncology. The rate of antimicrobial agents usage was a little high,It is necessary to strengthen the management of nosocomial infection of key departments.