CAJ | 학술논문

目的：了解医院感染现患率，分析其影响因素，为有效预防和控制医院感染提供依据。方法采用床旁调查与查阅病历相结合的方式，对2012年9月6日8：00至9月7日8：00住院患者进行感染现患率调查。结果调查患者458例，实查率96.83%，医院感染现患率为5.68%，感染部位以呼吸系统感染为首，前5位的科室依次为ICU、肿瘤科、神经外科、神经内1科、神经内2科；调查日抗生素使用率为44.76%，治疗用药占34.15%，标本送检13份，送检率18.75%。结论医院感染现患率水平符合卫生部<8%的要求，应加强临床一线工作人员病原菌送检率及药物敏感试验，合理使用抗菌药物，防治医院感染的暴发流行。
목적：료해의원감염현환솔，분석기영향인소，위유효예방화공제의원감염제공의거。방법채용상방조사여사열병력상결합적방식，대2012년9월6일8：00지9월7일8：00주원환자진행감염현환솔조사。결과조사환자458례，실사솔96.83%，의원감염현환솔위5.68%，감염부위이호흡계통감염위수，전5위적과실의차위ICU、종류과、신경외과、신경내1과、신경내2과；조사일항생소사용솔위44.76%，치료용약점34.15%，표본송검13빈，송검솔18.75%。결론의원감염현환솔수평부합위생부<8%적요구，응가강림상일선공작인원병원균송검솔급약물민감시험，합리사용항균약물，방치의원감염적폭발류행。
Objective To provide the basis for the prevention and control of nosocomial infection by knowing nosocomial infection prevalence rate and analyzing its affecting factors. Methods The patients were admitted into hospital from 8am, Sept.6 to 8pm, Sept.7 were conducted investigation on infection prevalence rate with a combination of bedside and reference to the case. Results 458 patients were investigated, the actual investigation rate was 96.83%, nosocomial infection prevalence rate was 5.68%. Respiratory infection came ifrst in the affected area. The other ifve departments were ICU, Oncology, Neurosurgery, Neurology 1, Neurology 2. The daily rate of antibiotics use were 44.76%, of which 34.15%were used for active treatment, 13 samples of the patients were examined(18.75%). Conclusion The level of nosocomial prevalence rate meets the demand of the ministry of health. Some steps should be taken to strengthen the test of rate of pathogenic bacteria and drug sensitive in clinical frontline workers , make a rational use of antimicrobial drugs, and prevent the outbreaks of nosocomial infection.