摘要
目的了解某院医院感染现患率、常见感染部位、影响因素及医院感染动态变化。方法参照《全国医院感染现患率调查》方案，对2002-2004年各年第4季度某日0—24时的住院患者医院感染现患率进行调查，并填写统一调查表。结果实际调查2343人，实查率97．58％；发现医院感染173例（7．38％），181例次（7．73％）；近3年医院感染现患率为5．97％～9．02％，居前5位的医院感染部位依次为呼吸道（49．72％）、手术部位（12．16％）、泌尿道（9．39％）、皮肤软组织（7．74％）和烧伤创面（7．18％）。泌尿道插管、使用呼吸机和免疫抑制剂、化疗、手术切口污染程度是医院感染的主要危险因素。结论该院医院感染现息率较高，需加强监控；医院感染现患率调查省时、省力、得结果快，所得资料较准确。
Objective To study the prevalence of nosocomial infection （NI）, the common NI sites, the affecting factors and changing trends of NI in a hospital. Methods The point-prevalence survey of NI in all hospitalized patients at one day in three consecutive years （from 2002 to 2004） was made, questionnaires were filled in. Results Among 2 343 investigated patients, 173 patients （7.38%） had 181 cases （7.73%） NI. The prevalence rate of NI was between 5.97%- 9.02% in three consecutive years. The common N I sites were respiratory tract （49.72%）, surgical sites （12.16%）, urinary tract （9.39%）, skin soft-tissue （7.74%） and the bum wound （7.18%）. The risk factors for NI were as follows： indwelling catheter, ventilator irnmunosuppressive agents, chemotherapy and incisional contamination. Conclusion The prevalence rate of NI was high, the survey and control of NI should be strengthened. The NI pointprevalence survey can be completed in the short time, and its data are accurate for evaluation of the NI incidence.
出处
《中国感染控制杂志》
CAS
2006年第1期19-22,34,共5页
Chinese Journal of Infection Control
关键词
医院感染
现患率调查
抗感染药
危险因素
nosocomial infection
prevalence survey
antimicrobial agents
risk factors
