摘要
目的了解2011年医院感染发生的状况及抗菌药物的使用,为医院感染监测和预防控制提供依据。方法采用横断面调查的方法,对10月12日0∶00-24∶00住院的患者进行调查,以统一的标准填写调查表并进行统计分析。结果实查2350例,发生医院感染141例、158例次,现患率6.00%、例次感染率6.72%;感染部位以下呼吸道感染居首位,占45.73%,其次为血液、上呼吸道,分别占12.20%、10.98%;共分离出86株病原体,居前3位的为铜绿假单胞菌、不动杆菌属、克雷伯菌属,分别占20.93%、18.60%和12.79%;抗菌药物使用率为32.09%,治疗性用药时病原学送检率为48.20%。结论通过对医院感染现患率的调查,将加强对医院感染高发科室的监控,强化抗菌药物的合理使用,从而降低医院感染的发生。
OBJECTIVE To study the incidence of the nosocomial infections and the use of antibiotics in the hospital in 2011 so as to provide basis for the prevention and control of the nosocomial infections. METHODS By means of the cross-sectional survey, the patients who enrolled the hospital between 0：00 and 24：00 on Oct 12 th were investigated, the questionnaires were filled out in accordance with the unified standard , and the statistical analysis was performed. RESULTS Of 2350 cases of patients actually investigated, the nosocomial infections occurred in 141 patients （158 case-times of patients） with the prevent rate of 6. 00% and the case-time infection rate of 6.72%. The lower respiratory tract ranked the first place （45.73%） among the infection sites, followed by the blood （12.20%） and the upper respiratory tract （10. 98%）. A total of 86 strains of pathogens were isolated, among which the top three species were Pseudomonas aeruginosa, Acinetobaeter , and Klebsiella, accounting for 20.93% , 18. 60% , and 12. 79%, respectively. The utilization rate of antibiotics was 32. 09%, and the submission rate of etiology for the therapeutic medication was 48. 20%. CONCLUSION The incidence of the nosocomial infections can be reduced by investigating the prevalence rate of the nosocomial infections, strengthening the monitoring of the high-risk departments ,and intensifying the reasonable use of antibiotics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第7期1510-1512,共3页
Chinese Journal of Nosocomiology
基金
江苏高校优势学科建设工程资助项目(JX10231801)
关键词
医院感染
现患率
调查分析
Nosocomial infection
Prevalence
Investigation and analysis
作者简介
通讯作者：张卫红，E—mail：kittyzhang65@vip．sina．com
