摘要
目的:在中医院特点的基础上分析四川省某中医院住院患者的医院感染情况,评估当前该中医院医院感染防控效果,为该中医院医院感染管理工作可持续发展提供科学依据。方法:在2019年和2020年调查日00:00-24:00采用现场评估和查阅资料相结合的方法对四川省某中医院进行医院感染现患情况开展调查。结果:2019与2020年该中医院实查住院患者人数4652人,实查率为100%。2019-2020年该中医院医院感染现患率依次为2.68%,1.73%,感染例次率依次为3.19%,2.21%;社区医院感染现患率依次为18.95%,20.4%,感染例次率依次为20.08%,20.40%。两年的医院感染部位与社区医院感染部位均以下呼吸道为主。2019年共有951人使用抗菌药,使用率为37.00%,病原学送检率为46.90%;2020年共有708人使用抗菌药物,使用率为33.99%,病原学送检率为57.63%。结论:四川省某三甲中医院医院感染控制良好,合理使用抗菌药物的意识取得进一步提升,针对现患率相对较高的重点科室以及重点环节需进一步完善医院感染工作规范。
Objective:Based on the characteristics of traditional Chinese medicine (TCM) hospital,the hospital infection status of inpatients in a TCM hospital of Sichuan Province was analyzed and the prevention and control effect of hospital infection in the TCM hospital was evaluated to provide a scientific basis for the sustainable development of hospital infection management in the TCM hospital.Method:From 00:00 to 24:00 on the investigation date of 2019 and 2020,the prevalence of nosocomial infection in a TCM hospital in Sichuan province was investigated by using a combination of on-site assessment and data access.Result:In 2019 and 2020,the number of hospitalized patients in this hospital was 4652 and the investigation rate was 100%.The prevalence rates of nosocomial infections in this hospital from 2019 to 2020 were 2.68% and 1.73%,and the infection cases rates were 3.19% and 2.21%,respectively.The prevalence rates of hospital infection in community were 18.95% and 20.4%,and infection cases rates were 20.08% and 20.40%,respectively.Two years of hospital infection sites and community hospital infection sites were mainly lower respiratory tract.In 2019,a total of 951 people used antibiotics,with a utilization rate of 37.00% and a pathogenic submission rate of 46.90%.A total of 708 people used antibiotics in 2020,with a utilization rate of 33.99% and a pathogenic submission rate of 57.63%.Conclusion:Nosocomial infection control in a tertiary hospital of TCM in Sichuan Province is good,and the awareness of rational use of antibiotics has been further improved.The key departments and key links with relatively high prevalence need to further improve the work standard of nosocomial infection.
作者
贾吕曦
张文胜
JIA Lv-xi;ZHANG Wen-sheng(School of Public Health,Chengdu University of Traditional Chinese Medicine,Chengdu 611137,Sichuan;The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan)
出处
《中药与临床》
2021年第5期46-49,共4页
Pharmacy and Clinics of Chinese Materia Medica
关键词
中医院
医院感染
现患率
抗菌药物
TCM
nosocomial infection
prevalence rate
antibacterial drugs
