CAJ | 학술논문

目的：通过医院感染现患率调查，了解高要市人民医院感染实际情况和抗菌药物使用状况，针对医院感染特点，采取相应有效的预防与控制措施。方法采取横断面调查的方法，调查高要市人民医院2013年5月23日住院的患者，进行医院感染现患率分析。结果调查患者共590例，发生医院感染27例，28例次，医院感染现患率为4．58％，例次感染率4．75％；感染部位依次是：下呼吸道、泌尿系、皮肤软组织、颅内及消化道感染，分别占57．14％、17．86％、14．29％、7．14％、3．57％；感染高发科室为神经内科、神经外科及骨科；医院感染患者病原学送检率为74．07％，共检出医院感染病原体15株，主要为大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌和金黄色葡萄球菌，多重耐药菌6株占40．00％；调查当日抗菌药物使用率为33．28％。结论根据现患率调查结果，确立了针对性的感染控制措施，以进一步降低医院感染的发生。
목적：통과의원감염현환솔조사，료해고요시인민의원감염실제정황화항균약물사용상황，침대의원감염특점，채취상응유효적예방여공제조시。방법채취횡단면조사적방법，조사고요시인민의원2013년5월23일주원적환자，진행의원감염현환솔분석。결과조사환자공590례，발생의원감염27례，28례차，의원감염현환솔위4．58％，례차감염솔4．75％；감염부위의차시：하호흡도、비뇨계、피부연조직、로내급소화도감염，분별점57．14％、17．86％、14．29％、7．14％、3．57％；감염고발과실위신경내과、신경외과급골과；의원감염환자병원학송검솔위74．07％，공검출의원감염병원체15주，주요위대장애희균、폐염극뢰백균、동록가단포균、포만불동간균화금황색포도구균，다중내약균6주점40．00％；조사당일항균약물사용솔위33．28％。결론근거현환솔조사결과，학립료침대성적감염공제조시，이진일보강저의원감염적발생。
ABSTRACT:Objective To understand the practical situation of nosocomial infections and use situation of antibacterial agents in Gaoyao People’s Hospital through investigating the prevalence of nosocomial infections,and to develop the effective prevention and control measures according to characteristics of nosocomial infections.Methods Cross sectional survey was performed to ana-lyze the prevalence of nosocomial infections in patients who were admitted to Gaoyao People’s Hospital on May 23,2013.Results Among the 590 patients investigated,27 patients(4.58%)and 28 case-times(4.75%)suffered from nosocomial infections.The sites of infections included lower respiratory tract(57.14%),urinary tract(17.86%),skin and soft tissue(14.29%),cranial cavity (7.14%),and gastrointestinal tract(3.57%).The infections were highly occurred in departments of neurology,neurosurgery and orthopaedics.The pathogenic detection rate of nosocomial infec-tions was 74.07%.A total of 15 strains of pathogens were found,mainly including Escherichia co-li,Klebsiella pneumoniae,Pseudomonas aeruginosa,Acinetobacter baumannii Acinetobacter and Staphylococcus aureus.Six strains of multi-resistant bacteria accounted for 40.00%.The antibiot-ic usage rate was 33.28% on the day of investigation.Conclusion According to the survey results on prevalence,we strengthened the targeted infection control measures to reduce the occurrence of nosocomial infections.