CAJ | 학술논문

目的：全面了解住院患者医院内感染现状及影响因素，为控制医院内感染危险因素及合理使用抗菌药物提供依据，也为进一步开展有效目标性监测、制订科学有效的感染控制方案提供依据。方法采用横断面调查方法，即床旁调查与病历查阅相结合，对该院2012～2013年医院内感染现患率进行调查。结果抗菌药物使用率从44.03%下降为35.43%，医院内感染率从1.74%上升至4.00%，医院内感染部位以下呼吸道和泌尿道为主，医院内感染病原菌主要为革兰阴性杆菌。抗菌药物一联使用率由83.62%升为94.35%。结论应加强高危科室及高发部位医院内感染的管理，提高临床标本送检质量和送检率，规范抗菌药物合理使用，进一步落实医院内感染控制规范，逐步降低医院内感染的发生。
목적：전면료해주원환자의원내감염현상급영향인소，위공제의원내감염위험인소급합리사용항균약물제공의거，야위진일보개전유효목표성감측、제정과학유효적감염공제방안제공의거。방법채용횡단면조사방법，즉상방조사여병력사열상결합，대해원2012～2013년의원내감염현환솔진행조사。결과항균약물사용솔종44.03%하강위35.43%，의원내감염솔종1.74%상승지4.00%，의원내감염부위이하호흡도화비뇨도위주，의원내감염병원균주요위혁란음성간균。항균약물일련사용솔유83.62%승위94.35%。결론응가강고위과실급고발부위의원내감염적관리，제고림상표본송검질량화송검솔，규범항균약물합리사용，진일보락실의원내감염공제규범，축보강저의원내감염적발생。
Objective To understand infection situation and influencing factors of nosocomial and community infection , in order to provide basis for controlling infection risk factors and rational use of antibacterials ,as well as for effective and objective surveillance and formulation of scientific infection control plan. Methods By cross-sectional survey methods,namely combining hospital bedside investigation with medical records review,the infection rates in the hospital from 2012 to 2013 were investigated. Results The rate of antibacterials usage decreased from 44.03%to 35.43%;the nosocomial infection rate rose from 1.74%to 4.00%;the nosocomial infection sites were mainly lower respiratory tract and urinary tract;the pathogenic bacteria was mainly gram-negative. The combination use rate of antibacterials rose from 83.62%to 94.35%.Conclusion High-risk departments and high-risk areas should strengthen the management of nosocomial infection,improve the quality of clinical specimen for pathologi-cal examinations and inspection rate,regulate the rational use of antibacterials,and then further implement the infection control standard and reduce the nosocomial infection gradually.