CAJ | 학술논문

目的分析揭阳市人民医院医院感染的情况,为进一步落实医院感染预防和控制措施提供依据.方法采用横断面调查的方法,床旁调查和病历调查相结合,对比分析2011年、2012年医院感染现患率调查情况.结果 2011年医院感染现患率为4.61％,例次现患率为4.75％;2012年医院感染现患率为4.76％,例次现患率为4.88％;2011年、2012年医院感染高发科室为ICU、神经外科、神经内科、心胸外科;医院感染部位以下呼吸道居首位,医院感染病原体以革兰阴性杆菌为主,鲍曼不动杆菌所占比例显著上升;2012年抗菌药物使用的合理性比2011年有明显改善,多重耐药菌所占比例下降.结论应加强医院感染监测与报告,加强下呼吸道医院感染干预措施和手卫生工作,注重医院感染高发科室的监控和多重耐药菌防控,合理使用抗菌药物,以降低医院感染率.
목적 분석게양시인민의원의원감염적정황,위진일보락실의원감염예방화공제조시제공의거.방법 채용횡단면조사적방법,상방조사화병력조사상결합,대비분석2011년、2012년의원감염현환솔조사정황.결과 2011년의원감염현환솔위4.61％,례차현환솔위4.75％;2012년의원감염현환솔위4.76％,례차현환솔위4.88％;2011년、2012년의원감염고발과실위ICU、신경외과、신경내과、심흉외과;의원감염부위이하호흡도거수위,의원감염병원체이혁란음성간균위주,포만불동간균소점비례현저상승;2012년항균약물사용적합이성비2011년유명현개선,다중내약균소점비례하강.결론 응가강의원감염감측여보고,가강하호흡도의원감염간예조시화수위생공작,주중의원감염고발과실적감공화다중내약균방공,합리사용항균약물,이강저의원감염솔.
Objective To analyze the present situation of nosocomial infection (NI) in our hospital,and provide basis for prevention and control of NI.Methods Cross-sectional study was used to compare the prevalence rate of NI between 2011 and 2012,data obtained from clinical investigations and references of inpatient medical records.Results The prevalence rate of NI was 4.61％ in 2011 and 4.76％ in 2012,the case prevalence rate was 4.75％ in 2011 and 4.88％ in 2012.And the higher NI rate was found in departments of ICU,neurology,neurosurgery and cardiothoracic surgery in 2011 and 2012.The lower respiratory tract was the main infected site,and gram-negative bacterium was the main pathogenic bacteria.The proportion of pandrugresistantacineto bacterbaumanii were increasing significantly.The rationality of antibacterial usage in 2012 improved significantly than that in 2011,and the percentage of multiple resistant bacteria fall.Conclusions NI must be controlled by effective measure.Strengthen the monitoring and reporting of NI,intervene lower respiratory tract infection and keep hands clean,emphasize surveillance for the departments with higher NI rate,prevent and control the multiple resistant bacteria,use antimicrobial agents rationally,so as to reduce the infection rate.