CAJ | 학술논문

目的：了解特定时间的医院感染率，真实反映医院感染状况，制定医院感染的预防控制措施，有效降低医院感染率。方法对2014年7月11日医院882例住院患者采用床旁调查和查阅电子病历的方式，进行医院感染现患率调查，填写调查表，对结果使用Excel软件进行数据汇总分析。结果应调查住院患者882例，实际调查882例，实查率100．00％；发生医院感染29例、30例次，感染率3．29％、例次感染率3．40％；抗菌药物使用率30．50％，微生物送检率49．80％；感染部位以下呼吸道为主，占31．00％，其次为泌尿道感染，占27．50％；感染病原菌以铜绿假单胞菌和鲍氏不动杆菌为主，各占18．20％；882例患者中使用抗菌药物269例，抗菌药物使用率30．50％，其中治疗用药、预防用药、治疗＋预防用药分别占66．54％、22．30％、11．15％，一联、二联、三联用药分别占81．04％、18．59％、0．37％，送检率49．80％。结论医院感染现患率调查能准确反映医院感染状况和发展趋势，指导医院感染管理人员对易患因素采取针对性的目标性监测，从而降低感染率，预防医院感染暴发。
목적：료해특정시간적의원감염솔，진실반영의원감염상황，제정의원감염적예방공제조시，유효강저의원감염솔。방법대2014년7월11일의원882례주원환자채용상방조사화사열전자병력적방식，진행의원감염현환솔조사，전사조사표，대결과사용Excel연건진행수거회총분석。결과응조사주원환자882례，실제조사882례，실사솔100．00％；발생의원감염29례、30례차，감염솔3．29％、례차감염솔3．40％；항균약물사용솔30．50％，미생물송검솔49．80％；감염부위이하호흡도위주，점31．00％，기차위비뇨도감염，점27．50％；감염병원균이동록가단포균화포씨불동간균위주，각점18．20％；882례환자중사용항균약물269례，항균약물사용솔30．50％，기중치료용약、예방용약、치료＋예방용약분별점66．54％、22．30％、11．15％，일련、이련、삼련용약분별점81．04％、18．59％、0．37％，송검솔49．80％。결론의원감염현환솔조사능준학반영의원감염상황화발전추세，지도의원감염관리인원대역환인소채취침대성적목표성감측，종이강저감염솔，예방의원감염폭발。
OBJECTIVE To understand the prevalence rate of nosocomial infections during specific time ,reflect the actual situation of nosocomial infections ,and put forward the prevention and control measures so as to effectively reduce the incidence of nosocomial infections .METHODS By means of the bedside investigation and review of elec‐tronic medical records ,the prevalence rates of nosocomial infections in 882 patients who were hospitalized on Jul 11 ,2014 were investigated ,the questionnaires were filled out ,and the data were aggregated by using Excel soft‐ware .RESULTS Totally 882 hospitalized patients were supposed to be investigated ,and 882 cases were actually in‐vestigated ,with the actual investigation rate of 100 .00% .The nosocomial infections occurred in 29 (30 case‐times) cases with the infection rate of 3 .29% and the case‐time infection rate of 3 .40% .The utilization rate of an‐tibiotics was 30 .50% ,and the submission rate of microorganisms was 49 .80% .Of the patients with infections , 31 .00% had the lower respiratory tract infections ,and 27 .50% had the urinary tract infections .The Pseudomonas aeruginosa and Acinetobacter baumannii were the predominant species of pathogens causing infections ,and both accounted for 18 .20% ,respectively .Of the 882 patients ,269 have used antibiotics ,with the utilization rate of 30 .50% ;the patients who used antibiotics for treatment accounted for 66 .54% ,the patients who used antibiotics for prophylaxis accounted for 22 .30% ,and the patients who used antibiotics for treatment plus prophylaxis ac‐counted for 11 .15% ;the patients who received one‐drug therapy accounted for 81 .04% ,the patients who received two‐drug therapy accounted for 18 .59% ,and the patients who received three‐drug therapy accounted for 0 .37% ;the submission rate was 49 .80% .CONCLUSION The survey of prevalence rate of nosocomial infections may reflect the actual status and development trend of the nosocomial infections and guide the targeted monitoring of predispo‐sing factors so as to reduce the infection rate and prevent the nosocomial infections .