2015年～2017年医院感染现患率调查分析

Investigation and analysis of the prevalence rate of nosocomial infection in 2015-2017

目的:对2015年~2017年某院感染现患率数据进行比较,为医院感染监测和预防控制提供可靠依据。方法:由经过培训的调查人员采用床旁调查和查阅病历相结合的方法进行调查,对2015年~2017年的调查数据进行回顾性比较分析。结果:2015年~2017年的医院感染现患率分别是2. 76%、2. 27%、1. 93%,例次感染率分别是2. 91%、2. 27%、2. 16%;现患率较高的科室是脑外科、胸外科、内分泌科;感染部位以呼吸道、泌尿道为主;医院感染常见病原菌是大肠杆菌、肺炎克雷伯菌、鲍曼不动杆菌为主的革兰阴性菌;抗菌药物使用率分别是32. 85%、32. 83%、29. 40%,治疗性用药分别是75. 66%、76. 92%、81. 08%,预防用药分别是24. 34%、23. 08%、18. 92%,Ⅰ类(清洁)手术抗菌药物预防性使用率分别是73. 39%、72. 64%、65. 35%,治疗性抗菌用药标本送检率分别是54. 39%、51. 00%、59. 05%。结论:加强医院感染监测和环节质量控制,合理使用抗菌药物,是医院感染预防与控制的关键点。

Objective To compare the data of the prevalence rate of nosocomial infection for 2015 -2017 years,and to provide a reliable basis for hospital infection monitoring and prevention and control. Method The trained investigators were investigated by bedside survey and medical record combined method, and the data of 2015 -2017 years were retrospectively analyzed. Results In 2015 -2017 years, the prevalence rate of nosocomial infection were 2. 76 % ,2. 27 %, 1.93 % , respectively, cases of infection rate were 2.91% ,2.27% ,2.16% ,respectively;high prevalence rate was the Department of cerebral surgery, Department of thoracic surgery, Department of Endocrinology;the infection of respiratory tract, urinary tract and gram negative bacteria ; nosocomial infection pathogens were Escherichia coli, pneumonia Klebsiella, Bauman Acinetobacter; antimicrobial drug use rate were 32. 85% ,32.83% ,29.40% , respectively, treatment were 75.66% ,76. 92% ,81.08% , respectively, preventive medicine was 24. 34%, 23.08%, 18.92%, class [ （clean） preventive use rate of surgical antibacterial drugs were 73.39%, 72. 64% ,65.35% ,respectively, the treatment of antibacterial drugs, the specimen submission rate was respectively 54. 39% , 51.00% ,59. 05%. Conclusion It is the key point for the prevention and control of hospital ibfection to strengthen the monitoring of nosocomial infection and the quality control of the link and use the antibiotics reasonably.