摘要
目的了解医院儿内科系统医院感染现患率,抗菌药物应用情况,调查医院感染管理中存在的问题,为制定预防管理措施提供可靠的理论依据。方法对2009年9月7日下午6∶00至8日下午6∶00的住院患者,采用床边调查与住院病例相结合,填写统一印制的个案调查表,进行医院感染现患率调查。结果调查儿内科住院患者92例,医院感染现患率及例次感染率均为8.69%,感染部位主要为呼吸道,其中上呼吸道感染6例,下呼吸道感染1例,肠道感染1例,构成比例分别为75.00%、12.50%、12.50%;日用抗菌药物15种,使用率为88.04%,细菌培养送检率仅为6.52%;其中新生儿送检率为12.50%,非新生儿送检率为3.33%。结论儿内科应加强抗菌药物的管理,重视医务人员的培训,提高细菌培养送检率,有针对性的合理应用抗菌药物,以免增加医院感染的概率。
OBJECTIVE To explore the prevalence of nosocomial infection and the use of antibacterials in pediatric department.To find out the problems in hospital infection management,to provide the reliable theoretical basis for formulating prevention and control measures.METHODS By combining the bedside survey with patients′ medical records of the inpatients from 6p.m Sept 7th to 6p.m Sept 8th,the unified case questionnaire was filled and the nosocomial infection prevalence rate was investigated.RESULTS Among the investigated 92 cases,both the prevalence rate and the case-time infection rate were 8.69%.The infection sites were mainly in respiratory tract,and 6 cases in upper respiratory tract,1 in lower respiratory tract,1 in bowel.The composing proportion were 75%,12.5%and 12.5% respectively.15 kinds of antibiotics were used,the utilizing rates were 88.04%,the delivering rates of bacterial cultivation were only 6.52%.The delivering rates of the newborn babies were 12.5%,while the non-newborn babies were 3.33%.CONCLUSION The management of the using of the antibacterials should be strengthened in pediatric department.Attaching much attention to the training for the medical staff,promoteing the delivering rate of bacterial cultivation,utilizeing the antibacterials reasonably and targetly can prevent the hospital infection from increasing.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第13期1861-1862,共2页
Chinese Journal of Nosocomiology
关键词
儿内科
医院感染
现患率调查
Pediatric department
Nosocomial infection
Investigation of prevalence rate
