某三甲综合医院妇产科2018年医院感染调查与分析

Investigation and analysis of nosocomial infection in Obstetrics and Gynecology Department of a grade-three class-a general hospital in 2018

目的调查2018年在新乡医学院第一附属医院妇产科住院患者的医院感染现状,分析季节因素对医院感染的影响。方法调阅医院感染实时监控系统,结合床旁调查和查阅电子病历,收集并分析12个月医院感染现患率、病原菌检测及抗菌药物使用等资料。结果1月和4月现患率较高,常见的感染部位分别为血液及上呼吸道,其感染率较高的月份分别为10月和1月。抗菌药物使用以一联用药为主,无明显季度性差异。结论2018年该院妇产科感染现患率及感染部位分布有季度性差异,而抗菌药使用无季度性差异。做好医院感染防控,合理使用抗菌药物仍是目前医院感染管理工作的重点。

Objective To investigate the infection status of inpatients in the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Xinxiang Medical University in 2018 and analyze the influence of seasonal factors on hospital infection.Methods The monitoring system of hospital infection was reviewed and the patient’s electronic medical records were consulted with bedside survey.The data of infection rate,pathogenic bacteria distribution and antimicrobial use of patients in 2018 were collected and analyzed.Results The infection incidences of patients were higher in January and April.The most common infection sites were blood and upper respiratory tract.The months with higher incidences were in October and January,respectively.Antibiotics were mainly used with one drug combination,with no obvious quarterly difference.Conclusion The prevalence of infection,the distribution of infection sites in the department of obstetrics and gynecology have differences in 2018,while there is no quarterly difference in the use of antibacterial drugs.Doing well the prevention and control of nosocomial infection and rational use of antibiotics are still the focus of nosocomial infection management at present.