摘要
目的了解四川大学华西第四医院医院感染的基本情况,为医院感染管理工作提供科学依据。方法 2013-10-11采取床旁调查和查看病历相结合的方法,调查1 d内所有住院患者医院感染情况和抗生素使用情况。结果共调查286例住院患者,医院感染现患率为1.05%;发生医院感染的科室是肿瘤科和姑息科关怀科;医院感染的主要部位是呼吸道,主要病原体是真菌、肺炎克雷伯菌、鲍曼不动杆菌等致病菌;抗生素使用率为32.17%,送检率为73.91%;治疗用药占90.22%,预防用药占1.09%,治疗+预防占8.70%,单用药占88.04%,二联用药占10.87%,≥三联用药占1.09%。结论通过医院感染现患率调查,将加强对肿瘤科和姑息关怀科的监控,严格落实呼吸道感染的预防控制措施,并强调抗菌药物的合理应用,降低医院感染的发生。
Objective To understand the basic situation of nosocomial infections in No. 4 West China Teaching Hospital,Sichuan University,and to provide a scientific basis for nosocomial infection management. Methods On 11 th,Oct. 2013,the nosocomial infection and the application of antibiotics were investigated using methods of bedside investigation and medical record review. Results In all,286 inpatients were investigated,and the prevalence rate of nosocomial infection was 1. 05%. The infections occurred in the Dept. of Oncology and Dept. of Palliative Care. The main infected body part was respiratory tract and the main pathogens were fungi,e. g. Klebsiella pneumonias and Acinetobacter baumannii. The usage rate of antibiotic was 32. 17% and the detection rate was 73. 91%. A proportion of 90. 22% of the antibiotic was for treatment,1. 09% for prevention,and 8. 70% for both treatment and prevention. Single drug use comprised 88. 04%,two-drug 10. 87%and three-or-more-drug 1. 09%. Conclusion Prevalence rate survey can provide indications to reduce the nosocomial infection by enhancing the monitoring of Dept. of Oncology and Dept. of Palliative Care,more strictly implementing prevention and control measures against respiratory infection and more reasonable applying of antibiotics.
出处
《预防医学情报杂志》
CAS
2015年第6期475-477,共3页
Journal of Preventive Medicine Information
关键词
医院感染
现患率
职业病医院
nosocomial infection
prevalence rate
occupational disease hospital
