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医院感染现患率调查与分析

Investigation and analysis of prevalence of nosocomial infections
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摘要 目的了解并掌握住院患者医院感染现状及存在的问题,为预防医院感染提供科学依据。方法采用横断面调查方法,对2011年9月21日0∶00-24∶00住院患者进行医院感染现患率调查。结果实查住院患者317例,医院感染5例,医院感染现患率为1.6%;感染部位以呼吸道、皮肤软组织为主,分别占40.0%、40.0%,切口感染次之,占20.0%;调查当日使用抗菌药物184例,使用率为58.0%,其中治疗用药114例,占62.0%,预防用药70例,占38.0%;一联用药146例,占79.3%,二联用药38例,占20.7%。结论加强病原学检测及日常高危因素监测,规范抗菌药物合理使用。 OBJECTIVE To understand the current status of nosocomial infections in the hospitalized patients so as to provide scientific basis for the prevention of nosocomial infections. METHODS By means of cross-sectional survey, the prevalence of nosocomial infections in the patients who enrolled the hospital between 0:00 to 24:00 on Sep 21, 2011 was investigated. RESULTS Of 317 hospitalized patients investigated, nosocomial infections occurred in five patients with the prevalence rate of 1.6%. The main infection site was respiratory tract (40.0%), followed by the skin soft tissue(40.0%) and the surgical incision (20.0). There were 184 patients who used antibiotics on the survey day with the utilization rate of 58.0 %, among which 114 (62.0%) cases used therapeutic antibiotics and 70 (38.0%) cases used prophylaxis antibiotics. There were 146 (79. 3%) patients who were treated with single-drug therapy and 38 (20. 7%) patients who were treated with two-drug therapy. CONCLUSION The detection of etiology and the monitoring of high risk factors should be strengthened, and the antibiotics should be reasonably used.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2013年第3期506-508,共3页 Chinese Journal of Nosocomiology
关键词 医院感染 现患率 调查分析 Nosocomial infections Prevalence rates Investigation and analysis
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