医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
14期
79-79,80
,共2页
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
Nosocomial infection%Prevalence rate%Investigation and analysis
目的了解医院感染现患率及抗菌药物使用现况,为进一步完善医院感染管理的监控方案、开展目标性监测等工作提供可靠依据。方法采用床旁和病案调查相结合的方式,对当日全院所有患者进行医院感染现患率调查。结果应查1493例,实际调查1484人,实查率99.4%;医院感染现患率为3.03%;其中下呼吸道感染18例,占总感染例数的40%,为医院感染最多的部位。抗茵药物使用率为39.82%,一联用药占82.57%,二联用药占15.74%,三联及以上用药占0.34%。细菌培养标本送检率为62.06%。医院感染主要病原菌为鲍曼不动杆菌。结论本次医院感染现患率调查比较真实地反映了我院医院感染情况,应加强高感染科室、高感染部位的医院感染预防与控制,提高病原学标本送检质量,有效指导临床合理使用抗菌药物,以降低医院感染发生率。
目的瞭解醫院感染現患率及抗菌藥物使用現況,為進一步完善醫院感染管理的鑑控方案、開展目標性鑑測等工作提供可靠依據。方法採用床徬和病案調查相結閤的方式,對噹日全院所有患者進行醫院感染現患率調查。結果應查1493例,實際調查1484人,實查率99.4%;醫院感染現患率為3.03%;其中下呼吸道感染18例,佔總感染例數的40%,為醫院感染最多的部位。抗茵藥物使用率為39.82%,一聯用藥佔82.57%,二聯用藥佔15.74%,三聯及以上用藥佔0.34%。細菌培養標本送檢率為62.06%。醫院感染主要病原菌為鮑曼不動桿菌。結論本次醫院感染現患率調查比較真實地反映瞭我院醫院感染情況,應加彊高感染科室、高感染部位的醫院感染預防與控製,提高病原學標本送檢質量,有效指導臨床閤理使用抗菌藥物,以降低醫院感染髮生率。
목적료해의원감염현환솔급항균약물사용현황,위진일보완선의원감염관리적감공방안、개전목표성감측등공작제공가고의거。방법채용상방화병안조사상결합적방식,대당일전원소유환자진행의원감염현환솔조사。결과응사1493례,실제조사1484인,실사솔99.4%;의원감염현환솔위3.03%;기중하호흡도감염18례,점총감염례수적40%,위의원감염최다적부위。항인약물사용솔위39.82%,일련용약점82.57%,이련용약점15.74%,삼련급이상용약점0.34%。세균배양표본송검솔위62.06%。의원감염주요병원균위포만불동간균。결론본차의원감염현환솔조사비교진실지반영료아원의원감염정황,응가강고감염과실、고감염부위적의원감염예방여공제,제고병원학표본송검질량,유효지도림상합리사용항균약물,이강저의원감염발생솔。
Objective To investigate the prevalence rate in a hospital and the use of antibacterial agents, and to provide a reliable basis for further improving the monitoring solutions to hospital infection management and car ying out targeted surveil ance work. Methods A combination of bedside testing and medical records review was employed to explore the prevalence rate of al patients in the hospital the day. Results 1493 cases should be inspected and 1484 were actual y tested, with a real rate of 99.4%. The nosocomial infection prevalence rate was 3.03%, among which 18 cases belonged to lower respiratory infection, making up 40%of cases of infection and becoming the most infectious part in the hospital. The antibacterial drug use rate was 39.82%; one-combination drug accounted for 82.57%;dual-combination drug accounted for 15.74%, and triple-combination or more drug accounted for 0.34%. Specimens sent for bacterial culture was 62.06%. The inspection rate of bacterial culture specimens was 62.06%, and the main pathogenic bacterium of nosocomial infection was Acinetobacter baumanni . Conclusion The prevalence survey of nosocomial infection truly reflected our hospital's infection. Prevention and control of nosocomial infection between highly infectious departments and highly infectious parts should be strengthened. Also, the quality of pathogenic specimens inspection should be improved to ef ectively guide clinical and rational use of antimicrobial drugs to reduce the incidence of nosocomial infection.