摘要
目的了解齐鲁石化医院集团中心医院医院感染现患率和横断面抗菌药物使用情况。方法采用横断面调查方法,床旁调查和病历调查相结合,对2009年8月10日的住院患者进行医院感染现患率调查。结果调查住院患者394例,发生医院感染17例、18例次,医院感染现患率4.31%,例次现患率4.57%;神经外科现患率最高为17.65%,下呼吸道感染占首位为38.89%,其次是泌尿道感染为22.22%;抗菌药物横断面使用率为42.89%,治疗性用药占53.25%,预防性用药占35.50%,治疗兼预防用药占11.24%,一联用药占60.36%,二联用药占36.69,三联用药占2.95%。结论加强临床科室的目标性监测,提高病原体送检率和分离率,合理使用抗菌药物,减少耐药菌株的产生,控制医院感染发生。
Objective To investigate and analyze the prevalence rate as well as antibiotics use in Qilu petrochemical hospital group central hospital. Method To study nosoeomial prevalence rate of the inpatients in our hospital on August 10, 2009 by prevalence survey of bed-side investigation and case reeords. Results Among the 394 inpatients investigated in the study, 17 inpatients/18 cases were infected, the nosocomial prevalence rate was 4.31%, the case prevalence rate was 4.57%; the highest prevalence rate, which occurred in neurosurgery division, was 17.65%, and the highest infection rate （lower respiratory tract infection） is 38.89%, and the next is urinary tract infection, which is 22.22%; the percentage for antibiotic usage was 42.89%, and 53.25% for treatment, 35.50% for preventive regimen, and 11.24% for treatment and preventive usage; the percentage for single antibiotic was 60.36%, the percentage for two antibiotics combined was 36.69%, and the percentage for three antibiotics combined was 2.95%. Conclusion It is recommended that the objective monitoring of clinic division shall be strengthened, and the isolation and inspection of pathogens shall be increased; the rational use of antibiotics should be stressed in order to reduce drug resistance and nosocomial infection.
出处
《中国医药指南》
2010年第12期28-30,共3页
Guide of China Medicine
关键词
医院感染
横断面调查
现患率
Hospital infection
Prevalence survey
Prevalence rate
