摘要
目的了解医院感染现患率和横断面抗菌药物使用情况。方法床旁调查与查阅住院病历相结合,进行统计分析。结果调查住院患者926例,现患率为6.37%,现患例次率为6.48%;高危科室为血液科、神经外科、中西外科;感染部位依次是下呼吸道、泌尿道、手术伤口;铜绿假单胞菌仍是下呼吸道感染的主要致病菌;抗菌药物当天使用率为40.39%,神志不清、气管切开、留置尿管等是医院感染高危因素;外科围手术期预防用药偏高,使用抗菌药物共42种。结论加强对高危科室目标监测,进一步规范抗菌药物的使用,控制医院感染的发生。
OBJECTIVE To know the real condition of the prevalence of nosocomial infection （NI） in our hospital, in order to enhance the consciousness of nosocomial infection control in whole staff, so that this work will be done well. METHODS We got the data through bed-side examination and medical records and made a statistic analysis. RESULTS Among 926 investigated patients, 59 patients （6.37%） had 60 cases （6.48%） NI. Departments with high risk were for hematology, neurosurgery, and Chinese-Western combination surgery. The common NI sites were the lower respiratory tract, urinary tract and surgical sites; Pseudomonas aeruginosa was a main pathogen for the lower respiratory tract. The antibiotic use rate was 40. 39%. The high risk factors were patients with unconsciousness, undergoing tracheotomy or urethral catheterization and so on. The postoperative use appeared to be higher than usual. The antibiotics used included 42 kinds. CONCLUSIONS It is recommended that specific surveillance be conducted in Departments with high risk for nosocomial infection, the wide-spectrum antibiotics should be stressed in order to reduce drug resistance and nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第1期89-91,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
现患率
调查分析
Hospital infection
Prevalence rate
Investigation and analysis
