【摘要】 目的了解医院感染现患情况,发现医院感染管理中存在的问题和医院感染发生的特点,以改进预防控制措施。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表;对调查日处于医院感染状态的病例进行统计分析。结果应查1500例,实查1493例,实查率99.53%,医院感染现患率为5.69%,例次现患率6.03%;内科组现患率最高为8.54%;下呼吸道感染占38.89%;耐甲氧西林表皮葡萄球菌(MRSE)、耐甲氧西林金黄色葡萄球菌(MRSA)等多药耐药菌检出率49.23%;抗菌药物使用率48.69%,其中治疗用药40.99%,预防用药51.17%,治疗加预防用药7.84%。结论医院感染现患率调查快速有效,能及时发现存在的问题并为有效开展医院感染目标性监测提供依据。更多还原

【Abstract】 OBJECTIVE To investigate the point prevalence of nosocomial infection(NI) and discover the problems in the management of NI in a hospital.METHODS A team of surveyors were trained to inquire history of illness,do physical examination for inpatients and collect some necessary data from medical records on a single day.Questionnaires about NI cases were filled out and analyzed.RESULTS From 1500 patients,1493(99.53%) patients were investigated,the point prevalence and case prevalence of NI were 5.69% and 6.03%;the highest prevalence appeared in internal medicine at 8.54%;lower respiratory tract infections accounted for 38.89%;the detection rate of multi-drug resistant(MDR) bacteria was 49.23%;antimicrobial utilization rate was 48.69%.CONCLUSIONS The prevalence survey is a rapid and efficient method,which could offer evidence of target surveillance of NI.更多还原