摘要
目的了解骨科医院感染现患率,为制定预防及控制措施提供有效依据。方法采用横断面调查方法,对2011年11月15日0∶00-24∶00住院患者进行医院感染现患率调查。结果被调查的1272例患者发生医院感染34例,现患率为2.67%,例次率为2.67%;现患率较高的科室依次为VIP、手外一、手外四、骨盆外科、手外二,感染率分别为10.00%、9.26%、9.09%、8.89%、7.84%;感染部位以手术切口为主,占94.12%,其次为上呼吸道和下呼吸道,分别占2.94%、2.94%;医院感染病原菌以革兰阴性菌为主,25株占73.53%,其次为革兰阳性菌,9株占26.47%,主要病原菌依次为阴沟肠杆菌、铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌、雷氏普罗维登斯菌,分别占15.15%、12.12%、9.09%、9.09%、6.06%。结论应加强重点科室的目标性监测和手术切口管理,合理使用抗菌药物,提高医护人员的无菌意识,以控制医院感染的发生。
OBJECTIVE To understand the prevalence of nosocomial infections in the orthopedic hospital so as to provide basis for the prevention and control of nosocomial infections. METHODS By means of cross-sectional survey, the prevalence rates of nosocomial infections in the patients who were hospitalized between 0 ： 00 and 24：00 on Nov 15, 2011 were investigated. RESULTS Of totally 1272 cases of patients investigated, the nosocomial infections occurred in 34 cases with the prevalence rate of 2.67% and the case-time infection rate of 2.67% ; the prevalence rate of nosocomial infections was 10.00% in VIP, the No. 1 surgery department 9.26%, No. 4 surgery department 9. 09%, the pelvic surgery department 8. 89%, and the No. 2 surgery department 7.84%. Of the cases of nosocomial infections, 94. 12% had the surgical incision infections, 2. 94% the upper respiratory tract infections , 2.94 % the lower respiratory tract infections. Among the pathogenic bacteria causing nosocomial infections, there were 25 （73.53~） strains of gram-negative bacteria and 9 （26.47%） strains of grampositive bacteria; the Enterobacter cloacae, Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, and ＇Serratia bacteria Providence were dominant among the pathogens isolated, accounting for 15.15%, 12.12 %, 9.09%, 9.09%, and 6.06%, respectively. CONCLUSION It is necessary to strengthen the targeted surveillance in key departments and the management of surgical incision, reasonably use antibiotics, and improve the awareness of sterilization so as to control the nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第21期5183-5184,5187,共3页
Chinese Journal of Nosocomiology
基金
河南省重点中医学科(专科)学术带头人培养基金项目(2100601)
关键词
医院感染
现患率
调查分析
Nosocomial infection
Prevalence rate
Investigation and analysis
