摘要
目的 :监测医院感染率及医院感染的相关情况 ,以便发现医院感染管理中存在的问题 ,并探讨现患率调查优缺点。方法 :床旁调查与查阅病历相结合 ,填写统一的个案调查表 ,凡于调查期内处于医院感染状态的均计入医院感染。结果 :调查住院病人 14 95人 ,实查率 95 71% ,查出医院感染 97人 ,114例次 ,现患率 6 4 9% ,例次现患率 7 6 3% ;感染部位依次为下呼吸道、腹腔内、泌尿道 ;病原学诊断率为 5 1 75 % ;抗生素使用率6 6 35 %。结论 :控制医院感染除加强消毒隔离、无菌技术外 ,尚需加强对接受侵入性诊疗患者的护理 ,避免滥用抗菌药物及激素或免疫抑制剂 ,维持患者微生态平衡 ;现患率调查省时、省力 ,但资料连续性较差 ,需重复进行。
Objective:To monitor the prevalence rate of nosocomial infection and related issues,find the problems in the management of nosocomial infection,investigate the advantage and disadvantage of the prevalence rate.Methods:Filling in unificated table after inquiring and examing every inpatient and studying medical records,all inpatients were in nosocomial infection condition in the investigation periods.Resul ts:A total of 1495(95 71%)in patients were investigated.Among o f them,97 inpatients have acquired hospital infection and infection subsequence was 114.The prevalence rate was 6 49% and subsequence in fection rate was 7 63 %.The infection location were lower respiratory tract,abdominal cavity and urina ry tract in order.The pathogenic diagnosis rate was 51 75%.The usage rate of an tibiotics was 66 35%.Conclusion:To control nosocomial infection,we must strengt h en the nursing of the patients who accepted invasive performance and rational us age of antibiotics,hormone and immunosuppressive agent and maintain the microsys t emic balance of inpatients besides to strengthen disinfection and segregation an d sterile techniques.The investigation of prevalence rate can save time and labo r,but the successive kind of the data is poor,so it need to be repeat.
出处
《华西医学》
CAS
2002年第4期500-501,共2页
West China Medical Journal
关键词
医院感染
现患率
调查报告
nosocomial infection
the investigation o f prevalence rate
