中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
5期
60-62
,共3页
张晓兰%陈莉%薛均%黄成华
張曉蘭%陳莉%薛均%黃成華
장효란%진리%설균%황성화
医院感染%现患率%调查分析
醫院感染%現患率%調查分析
의원감염%현환솔%조사분석
Hospital infections%Prevalence rate%Investigation and analysis
目的：为了解本院住院患者医院感染的现状及其影响因素，为完善医院感染防控措施提供科学依据。方法：采用横断面调查方法，即床旁走访和查阅病历相结合，对本院2013年7月9日0：00-24：00所有住院患者（不包括当日新入患者）进行医院感染现患率调查，并对调查数据进行统计分析。结果：当日应查住院患者654例，实查率99.54%，医院感染率为3.69%，例次感染率3.99%；呼吸机相关性肺部感染率42.85%；医院感染部位以下呼吸道感染为主，感染率为61.54%；医院感染现患率前三位的科室依次是ICU 40%、神经外科11.76%、急诊科8.33%；26例次医院感染病例中送检标本17份，送检率65.38%，分离病原体16株，医院感染病原菌以革兰氏阳性菌为主占62.50%，其次是真菌占31.25%；抗菌药物的使用率为40.71%，抗菌药物使用中一联用药占86.79%，二联用药占13.21%；治疗用抗菌药物病原微生物标本送检率37.58%。结论：通过医院感染现患率调查，全面了解了本院医院感染现状，医院感染高发科室和关键环节是今后医院感染管理的重点。
目的：為瞭解本院住院患者醫院感染的現狀及其影響因素，為完善醫院感染防控措施提供科學依據。方法：採用橫斷麵調查方法，即床徬走訪和查閱病歷相結閤，對本院2013年7月9日0：00-24：00所有住院患者（不包括噹日新入患者）進行醫院感染現患率調查，併對調查數據進行統計分析。結果：噹日應查住院患者654例，實查率99.54%，醫院感染率為3.69%，例次感染率3.99%；呼吸機相關性肺部感染率42.85%；醫院感染部位以下呼吸道感染為主，感染率為61.54%；醫院感染現患率前三位的科室依次是ICU 40%、神經外科11.76%、急診科8.33%；26例次醫院感染病例中送檢標本17份，送檢率65.38%，分離病原體16株，醫院感染病原菌以革蘭氏暘性菌為主佔62.50%，其次是真菌佔31.25%；抗菌藥物的使用率為40.71%，抗菌藥物使用中一聯用藥佔86.79%，二聯用藥佔13.21%；治療用抗菌藥物病原微生物標本送檢率37.58%。結論：通過醫院感染現患率調查，全麵瞭解瞭本院醫院感染現狀，醫院感染高髮科室和關鍵環節是今後醫院感染管理的重點。
목적：위료해본원주원환자의원감염적현상급기영향인소，위완선의원감염방공조시제공과학의거。방법：채용횡단면조사방법，즉상방주방화사열병력상결합，대본원2013년7월9일0：00-24：00소유주원환자（불포괄당일신입환자）진행의원감염현환솔조사，병대조사수거진행통계분석。결과：당일응사주원환자654례，실사솔99.54%，의원감염솔위3.69%，례차감염솔3.99%；호흡궤상관성폐부감염솔42.85%；의원감염부위이하호흡도감염위주，감염솔위61.54%；의원감염현환솔전삼위적과실의차시ICU 40%、신경외과11.76%、급진과8.33%；26례차의원감염병례중송검표본17빈，송검솔65.38%，분리병원체16주，의원감염병원균이혁란씨양성균위주점62.50%，기차시진균점31.25%；항균약물적사용솔위40.71%，항균약물사용중일련용약점86.79%，이련용약점13.21%；치료용항균약물병원미생물표본송검솔37.58%。결론：통과의원감염현환솔조사，전면료해료본원의원감염현상，의원감염고발과실화관건배절시금후의원감염관리적중점。
Objective:To study the current situation and influencing factors of nosocomial infection of in-patients. In order to provide the scientific basis for perfecting some protective measures of hospital infection.Method:A cross-sectional study was carried out. That was to say combining clinical investigation and accessc the medical records. Statistical analysis of the survey data,which was investigated the prevalence of nosocomial infection of all in-patients during 0:00 am to 00:00 pm on July 9th,2013(not including the day of new patients).Result:The survey investigitions 654 cases which counted 99.54%. The nosocomial infection rate was 3.69%. Cases infection rate was 3.99%.Breathing machine correlation lung infection rate was 42.85%. The major infection part was lower respiratory tract,which was 61.54%. Hospital infection rates of top three departments,in turn,was ICU 40%neuro surgery 11.76%the emergency department 8.33%.In 26 cases of the nosocomial infection cases,17 samples were sent to check.The examination rate was 65.38%. There were 16 isolated pathogens.The most common pathogenic bacteria of nosocomial infection were gram-positive bacteria.Which was 62.50%.The second was fungi accounted for 31.25%.The percentage of anti-microbial application was 40.71%.One combination drug was used for 86.79%;two combination drugs for 13.21%.Treatment with anti-bacterial drugs specimens of pathogenic microorganism inspection rate of 37.58%.Conclusion:By investigating the prevalence of nosocomial infection,which provide an understanding of the updated situation.A high incidence of hospital infection in department and the key link is the focus of the hospital infection management in the future.
