CAJ | 학술논문

目的：了解医院感染发生的基本情况、抗菌药物的使用及病原菌的送检情况，为有效控制医院感染提供科学依据。方法采用横断面调查法，床旁调查与住院病历调查相结合，对调查结果进行统计与分析。结果调查住院患者637例，医院感染现患率为2.98%；医院感染部位以呼吸道感染居首位，其中下呼吸道感染为52.63%，泌尿道感染为15.79%，浅表切口感染为15.79%；日抗菌药物使用率为58.40%；治疗用药病原学送检率为40.82%。结论需要重点监控感染高发科室，应加强环境的清洁消毒、严格无菌操作、提高洗手率、加强抗菌药物管理等控制措施，提高医院感染控制质量，降低医院感染的发生率。
목적：료해의원감염발생적기본정황、항균약물적사용급병원균적송검정황，위유효공제의원감염제공과학의거。방법채용횡단면조사법，상방조사여주원병력조사상결합，대조사결과진행통계여분석。결과조사주원환자637례，의원감염현환솔위2.98%；의원감염부위이호흡도감염거수위，기중하호흡도감염위52.63%，비뇨도감염위15.79%，천표절구감염위15.79%；일항균약물사용솔위58.40%；치료용약병원학송검솔위40.82%。결론수요중점감공감염고발과실，응가강배경적청길소독、엄격무균조작、제고세수솔、가강항균약물관리등공제조시，제고의원감염공제질량，강저의원감염적발생솔。
Objective To investigate the basic information, use of antibacterail drugs and pathogen detection of nosocomial infection oc-currence to provide the scientific basis for controlling nosocomial infection effectively. Methods The cross-sectional survey method was adopted combined with the bedside investigation and the hospitalization medical records investigation. At last the statistical analysis of survey results was performed. Results Among 637 investigated inpatients, the prevalence rate of nosocomial infection was 2. 98%. In the infection sites, the respiratory tract infection topped the list, the lower respiratory tract infection accounted for 52. 63%, urinary tract for 15. 79% and the superficial incisional infection for 15. 79%. The average daily use rate of antibacterial drugs was 58. 40%, and the pathogenic detection rate in the medication therapy was 40. 82%. Conclusion The departments with the higher infection rate should be given the key surveillance. The control measures of cleaning and antisepsis of environment, strict aseptic operating procedures, increasing the rate of washing hands and antibiotics management should be strengthened. The control quality of nosocomial infection should be in-creased for reducing the incidence rate of nosocomial infection.