摘要
目的了解2010-2012年医院感染发生及动态变化、医院感染发生的易感因素、病原学及抗菌药物使用状况,为进一步制定有效的预防控制措施提供科学依据。方法采用横断面调查方法,以医院感染管理专职人员、科室感染兼职监控人员组成小组,采用床旁调查和病例调查相结合的方法,对2010年5月17日、2011年7月4日及2012年7月2日所有住院6 597例患者进行调查,采用SPSS17.0进行统计分析。结果 3次调查应查住院患者6 597例,实查6537例,实查率99.09%;医院感染254例、274例次,医院感染现患率3.85%、例次感染率4.15%,感染部位以下呼吸道为主占31.02%;日抗菌药物使用率平均为16.41%,呈逐年下降趋势。结论通过医院感染现患率调查,全面了解医院感染的现状,针对监测存在的问题,制定干预措施,降低医院感染发病率。
OBJECTIVE To explore the incidence of nosocomial infections ,dynamic change ,predisposing factors for nosocomial infections ,etiology ,and use of antibiotics from 2010 to 2012 so as to provide scientific basis for effec‐tive prevention and control of nosocomial infections .METHODS A cross‐sectional survey was conducted by a group of full‐time and part‐time staff who were in charge of control of nosocomial infections .By means of bedside investigation combined with case‐control survey ,a total of 6 597 patients who were hospitalized on May 17 ,2010 , July 4 ,2011 ,and Jul 2 ,2012 were investigated ,and the statistical analysis was performed with the use of SPSS17 .0 software .RESULTS Totally 6 597 patients were expected to investigate for the three times ,and 6 537 cases were actually investigated with the actual investigation rate of 99 .09% .The nosocomial infections occurred in 254 （274 case‐times） cases with the prevalence rate of 3 .85% and the case‐time infection rate of 4 .15% ;the patients with lower respiratory tract infections accounted for 31 .02% .The daily utilization rate of antibiotics was 16 .41% ,showing a descending trend .CONCLUSION It is an effective way to investigate the prevalence rate of nosocomial infections ,comprehensively understand the current status of nosocomial infections ,and put forward intervention measures in response to the existing problems so as to reduce the incidence of nosocomial infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第24期6110-6111,6116,共3页
Chinese Journal of Nosocomiology
基金
河南省医学科技攻关基金资助项目(2011030005)
关键词
现患率
医院感染
结果分析
Prevalence rate
Nosocomial infection
Analysis of result
