中华临床感染病杂志
中華臨床感染病雜誌
중화림상감염병잡지
CHINESE JOURNAL OF CLINICAL INFECTIOUS DISEASES
2014年
5期
405-408
,共4页
徐小仙%周晓芳%余元明%吴晔芳
徐小仙%週曉芳%餘元明%吳曄芳
서소선%주효방%여원명%오엽방
交叉感染%横断面研究%病原菌%现患率
交扠感染%橫斷麵研究%病原菌%現患率
교차감염%횡단면연구%병원균%현환솔
Cross infection%Cross-sectional studies%Pathogen%Prevalence rate
目的 了解浙江省肿瘤医院医院感染现状及抗菌药物使用情况.方法 采用横断面调查方法对浙江省肿瘤医院2011年8月11日和2012年6月19日所有临床科室住院患者医院感染情况,抗菌药物使用目的(治疗用药、预防用药、治疗+预防用药),使用方法(一联、二联、三联及以上)及病原菌检出情况进行统计,并采用x2检验比较两年间上述指标的差异.结果 2011和2012年分别调查住院患者854和886例,医院感染现患率为5.27％ (45/854)和5.08％ (45/886),二年间感染现患率差异无统计学意义(x2=0.186,P＞0.05).2011和2012年医院感染部位均以下呼吸道为主,分别为28.89％和36.96％,两年间各部位感染构成比差异无统计学意义(x2=1.415,P＞0.05);两年间抗菌药物使用率分别为18.03％ (154/854)和20.99％(186/886),以一联用药为主,抗菌药物使用目的和用药方法构成比差异无统计学意义(x2=1.994和3.042,P＞0.05),在治疗性使用抗菌药物的患者中,病原菌送检率分别为94.92％(56/59)和87.69％(57/65),检出的病原菌主要为大肠埃希菌、铜绿假单胞菌、鲍曼不动杆菌等革兰阴性菌.结论 浙江省肿瘤医院感染控制较为理想,抗菌药物使用管理取得了较好的成效.
目的 瞭解浙江省腫瘤醫院醫院感染現狀及抗菌藥物使用情況.方法 採用橫斷麵調查方法對浙江省腫瘤醫院2011年8月11日和2012年6月19日所有臨床科室住院患者醫院感染情況,抗菌藥物使用目的(治療用藥、預防用藥、治療+預防用藥),使用方法(一聯、二聯、三聯及以上)及病原菌檢齣情況進行統計,併採用x2檢驗比較兩年間上述指標的差異.結果 2011和2012年分彆調查住院患者854和886例,醫院感染現患率為5.27％ (45/854)和5.08％ (45/886),二年間感染現患率差異無統計學意義(x2=0.186,P＞0.05).2011和2012年醫院感染部位均以下呼吸道為主,分彆為28.89％和36.96％,兩年間各部位感染構成比差異無統計學意義(x2=1.415,P＞0.05);兩年間抗菌藥物使用率分彆為18.03％ (154/854)和20.99％(186/886),以一聯用藥為主,抗菌藥物使用目的和用藥方法構成比差異無統計學意義(x2=1.994和3.042,P＞0.05),在治療性使用抗菌藥物的患者中,病原菌送檢率分彆為94.92％(56/59)和87.69％(57/65),檢齣的病原菌主要為大腸埃希菌、銅綠假單胞菌、鮑曼不動桿菌等革蘭陰性菌.結論 浙江省腫瘤醫院感染控製較為理想,抗菌藥物使用管理取得瞭較好的成效.
목적 료해절강성종류의원의원감염현상급항균약물사용정황.방법 채용횡단면조사방법대절강성종류의원2011년8월11일화2012년6월19일소유림상과실주원환자의원감염정황,항균약물사용목적(치료용약、예방용약、치료+예방용약),사용방법(일련、이련、삼련급이상)급병원균검출정황진행통계,병채용x2검험비교량년간상술지표적차이.결과 2011화2012년분별조사주원환자854화886례,의원감염현환솔위5.27％ (45/854)화5.08％ (45/886),이년간감염현환솔차이무통계학의의(x2=0.186,P＞0.05).2011화2012년의원감염부위균이하호흡도위주,분별위28.89％화36.96％,량년간각부위감염구성비차이무통계학의의(x2=1.415,P＞0.05);량년간항균약물사용솔분별위18.03％ (154/854)화20.99％(186/886),이일련용약위주,항균약물사용목적화용약방법구성비차이무통계학의의(x2=1.994화3.042,P＞0.05),재치료성사용항균약물적환자중,병원균송검솔분별위94.92％(56/59)화87.69％(57/65),검출적병원균주요위대장애희균、동록가단포균、포만불동간균등혁란음성균.결론 절강성종류의원감염공제교위이상,항균약물사용관리취득료교호적성효.
Objective To investigate the prevalence rate of nosocomial infections and the use of antibacterial agents in Zhejiang Cancer Hospital.Methods The cross-sectional survey on nosocomial infections was conducted among inpatients in Zhejiang Cancer Hospital on August 11,2011 and June 19,2012.The differences in prevalence rates of nosocomial infections,purposes of antibacterial agents use (for treatment,for prevention,or for both treatment and prevention),methods of medication (single or combined medication),and pathogen detections between 2011 and 2012 were analyzed with x2 test.Results There were 854 and 886 patients enrolled in the study in 2011 and 2012,and the prevalence rates of nosocomial infections were 5.27％ (45/854) and 5.08％ (45/886),respectively (x2 =0.186,P ＞ 0.05).Lower respiratory tract infection was the most common nosocomial infections both in 2011 and 2012,which accounted for 28.89％ and 36.96％ of all infections,respectively; and there was no significant difference in infection sites between 2011 and 2012 (x2 =1.415,P＞0.05).Totally 154 out of 854 patients (18.03％)in 2011 and 186 out of 886 patients (20.99％) in 2012 received antibacterial agents,and single medication was the most common.There were no significant differences in the purposes and methods of medication between 2011 and 2012 (x2 =1.994 and 3.042,P ＞ 0.05).Pathogen detections were performed in 56 out of 59 patients (94.92％) and 57 out of 65 patients (87.69％) who received antibacterial agents for treatment in 2011 and 2012,respectively.The most common pathogens were Escherichia coli,Pseudomonas aeruginosa,and Acinetobacter baumanni.Conclusion The prevalence rate of nosocomial infection in Zhejiang Cancer Hospital is of the satisfactory level,which is due to the good management of antibacterial agents use.
