摘要
目的了解某中医院医院感染现状,提高医务人员医院感染控制意识,为医院感染控制预防及目标性监测提供依据。方法运用横断面调查的方法,收集2008—2021年调查日所有住院患者的医院感染现患情况、感染部位、抗菌药物使用情况及病原学送检率等数据并进行统计学分析。结果本调查连续开展14年,实查率为98.85%~100.00%;医院感染现患率为0.73%~2.39%;感染部位以下呼吸道、泌尿道、上呼吸道为主;共检出病原体162株;抗菌药物使用率为29.86%~54.89%,其中5.39%~22.98%为预防性药物,治疗性用药占73.60%~90.77%,治疗+预防性用药占2.22%~8.39%;一联用药占54.35%~87.35%,二联及以上用药占12.65%~45.65%;使用抗菌药物病原体送检率为14.00%~93.50%。结论该医院连续14年监测的医院感染现患率总体平稳,抗菌药物管理工作取得较好效果。
Objective To understand the current situation of nosocomial infection in a traditional Chinese medicine hospital,promote the medical staff’s awareness of nosocomial infection control,provide basis for nosocomial infection control and prevention and effective targeted monitoring.Methods Using the cross-sectional survey,the current situation of nosocomial infection,the infection site,the utilization rate of antimicrobial agents,and the rate of pathogenic examination of all inpatients in the survey days from 2008 to 2021 were collected and statistically analyzed.Results The investigation was conducted in 14 consecutive years.The actual investigation rate was 98.85%-100.00%,the annual incidences of hospital infection were 0.73%-2.39%.A total of 162 strains of pathogens were isolated.The infection sites were mainly lower respiratory tract,urinary tract and upper respiratory tract.The utilization rates of antibiotics were 29.86%-54.89%.Among them,the proportion of preventive drug was 5.39%-22.98%,therapeutic drug was 73.60%-90.77%,and treatment+preventive drugs were 2.22%-8.39%.One-drug therapy was 54.35%-87.35%,drug combination was 12.65%-45.65%.The detection rate of pathogens using antibiotics was 14.00%-93.50%.Conclusion The prevalence rate of nosocomial infection surveillance in the hospital for 14 consecutive years was generally stable,the management of antibiotics had achieved good results.
作者
刘芸
武宝通
华卫红
LIU Yun;WU Baotong;HUA Weihong(Department of Nosocomial Infection,Qingdao Hiser Hospital Affiliated of Qingdao University(Qingdao Traditional Chinese Medicine Hospital),Qingdao,Shandong 266033,China)
出处
《中国国境卫生检疫杂志》
CAS
2024年第1期87-91,共5页
Chinese Journal of Frontier Health and Quarantine
基金
山东省中医药科技项目(2020Z29)。
关键词
医院感染
现患率
抗菌药物
感染部位
Nosocomical infection
Prevalence rate
Antimicrobial drug
Infection site
