CAJ | 학술논문

目的：了解住院患者医院感染现状，为制定医院感染预防控制措施提供依据。方法对某医院2013年10月3日0∶00—24∶00所有住院患者，通过床旁调查及查阅电子病历相结合的方式，进行医院感染调查并填写统一的调查表。结果本次应调查住院患者3538例，实际调查3486例，实查率98.53%。发现医院感染患者74例，医院感染现患率为2.12%。ICU 病房、外科和神经科是医院感染的高发科室；患者医院感染部位以下呼吸道为主，占54.05%，其次为泌尿道感染；最常见的医院感染病原菌依次是不动杆菌属、金黄色葡萄球菌和铜绿假单胞菌；当日全院抗菌药物使用率为72.06%，其中治疗用药占69.94%，一联用药占76.95%；病原菌送检率为44.35%。结论通过医院感染现患调查，可以基本反映医院感染的现状及特点，并有针对性地采取干预措施，从而有效降低医院感染的发生。
목적：료해주원환자의원감염현상，위제정의원감염예방공제조시제공의거。방법대모의원2013년10월3일0∶00—24∶00소유주원환자，통과상방조사급사열전자병력상결합적방식，진행의원감염조사병전사통일적조사표。결과본차응조사주원환자3538례，실제조사3486례，실사솔98.53%。발현의원감염환자74례，의원감염현환솔위2.12%。ICU 병방、외과화신경과시의원감염적고발과실；환자의원감염부위이하호흡도위주，점54.05%，기차위비뇨도감염；최상견적의원감염병원균의차시불동간균속、금황색포도구균화동록가단포균；당일전원항균약물사용솔위72.06%，기중치료용약점69.94%，일련용약점76.95%；병원균송검솔위44.35%。결론통과의원감염현환조사，가이기본반영의원감염적현상급특점，병유침대성지채취간예조시，종이유효강저의원감염적발생。
Objectives To investigate the prevalence rate of healthcare-associated infection among hospitalized patients, and provide proof for developing preventive measures.Methods A prevalence survey was carried out among all hospitalized patients from 0∶00 to 24∶00 on October 3rd,2013,by means of bedside survey,review of electronic patient records, and investigation questionaire.Results 3 538 patients were expected to be involved,with 3 486 patients actually investiga-ted.The actually investigation rate was 98.53%.74 cases of healthcare-associated infection were found with a prevalence rate of 2.12%.The ICU ward,surgical department,and neurological department were the high-risk department for the infections.The lower respiratory tract was the most common infection site,accounting for 54.05%,followed by the urinary tract.The most frequently isolated bacteria were Acinetobacter,Staphylococcus aureus,and Pseudo-monas aeruginosa.Daily application rate of antibiotics was 72.06%,among which 69.94% were therapeutic use and 76.95% were single drug.The pathogen test rate was 44.35%.Conclusions The prevalence survey provides the concurrent situation and its characteristics of healthcare-associated infections,and it points out the directions for taking interventions to reduce infections.