CAJ | 학술논문

目的：调查医院感染及社区感染现患率，为降低感染发生率提供依据。方法采用床旁调查和查阅病历资料的方法，调查2013年9月9日所有住院患者。采用描述性方法描述感染现患病例的分布及抗菌药物使用情况。结果调查住院患者770人，调查率100．00％，发生医院感染18例，医院感染现患率为2．34％，下呼吸道是发生医院感染的主要部位；有228例发生社区感染，社区感染现患率为29．61％，下呼吸道、上呼吸道和胃肠道是发生社区感染的主要部位；医院感染和社区感染的病原菌构成基本一致，以 G－菌为主；调查当日使用抗菌药物186例，使用率为24．16％。结论加强儿内科、神经外科等高危科室、易感部位管理、制订相关操作规程是今后防控工作的重点。
목적：조사의원감염급사구감염현환솔，위강저감염발생솔제공의거。방법채용상방조사화사열병력자료적방법，조사2013년9월9일소유주원환자。채용묘술성방법묘술감염현환병례적분포급항균약물사용정황。결과조사주원환자770인，조사솔100．00％，발생의원감염18례，의원감염현환솔위2．34％，하호흡도시발생의원감염적주요부위；유228례발생사구감염，사구감염현환솔위29．61％，하호흡도、상호흡도화위장도시발생사구감염적주요부위；의원감염화사구감염적병원균구성기본일치，이 G－균위주；조사당일사용항균약물186례，사용솔위24．16％。결론가강인내과、신경외과등고위과실、역감부위관리、제정상관조작규정시금후방공공작적중점。
Objective To investigate and analysis the prevalence rate of hospital infection and community infection,and to reduce the incidence of hospital infection.Methods First we investigated hospitalized patients in September 9,2013 by two ways which in-clude bedside investigation and reviewing the medical records;and then described the prevalence case of infection and the usage of antimicrobial agent by descriptive approach.Results Seven hundred and seventy patients were investigated with the rate of 100.00%;18 patients were hospital infection cases,the infection rate was 2.34%;most of the hospital infection cases was occur in lower respiratory tract;228 patients were community infection cases.The infection rate was 29.61%;the primary affected areas of community infection were respiratory and gastrointestinal tract;the structure of hospital infection pathogens were almost the same with the community infection,most of them were G- bacteria;186 patients were used antimicrobial agent in that day,the usage rate was 24.16%.Conclusion Promoting the managements of high risk departments and susceptible affected areas,making relevant rules of operation are the focus of our works in the future.