新疆图木舒克市人民医院连续3年医院感染现患率研究

Research on incidence of nosocomial infecction in Tumushuk people's hospital Xinjiang during three consecutive years

目的了解医院感染及抗菌药物使用现状,进一步制定有效的预防控制措施。方法采用横断面调查方法,应用SPSS 17.0行统计分析。结果 3次调查实查率100%。其中社区感染255例,现患率31.14%;高发科室为儿科;感染部位以下呼吸道为主(62.75%);感染病原以革兰氏阳性菌(G^+)为主。医院内感染6例、现患率0.73%;高发科室为妇产科、外科;感染部位以浅表切口为主(50%);感染病原以革兰氏阴性菌(G^-)为主(66.6%)。三年内医院抗菌药物平均使用率32.23%。结论调查结果反映了医院感染及抗菌药物使用现状。依此制定干预措施,防控多重耐药菌感染,减少医院感染发生。

Objective To investigate the trends of nosocomial infections and use of antimicrobial agents,in order to effectively prevent and control program of hospital infection. Methods Cross-sectional survey method was adopted,the SPSS17.0 were used to statistical analysis. Results The check real rate was 100%.Among them 255 cases were community infection, the infection rate was 31.14%;the high frequent incidence was in the pediatric department;lower respiratory tract infection was the primary infection sites(62.75%);gram-positive bacteria (G^+) was the main pathogenic bacteria. 6 cases were nosocomial infection, the infection rate was 0.73%;the obstetrics and gynecology /surgery were the primary incidence;superficial incisional wound infection was the primary infection sites(50%);gram-negative bacteria (G^-) was the main pathogenic bacteria(66.6%).The antimicrobial drug utilization rate averaged 32.23% in the three years. Conclusion The investigation reflects the nosocomial infection rates and the present situation of the use of antibacterial drugs. intervention measures were formulated based on the results of the survey. multiple drug-resistant bacteria infection should be prevented and controlled to reduce the incidence of hospital infection.