【摘要】 目的了解医院感染现状、抗菌药物使用及医院感染管理中存在的问题,为进一步制定医院感染监控措施提供科学依据。方法对1 d内所有住院病例进行调查,查阅住院病历与床旁调查相结合,专职人员将所有的调查结果进行审核、统计、分析。结果调查住院患者466例,医院感染16例,现患率为3.43%,感染部位依次为下呼吸道56.25%、上呼吸道18.75%,皮肤、口腔、术后切口、泌尿道均为6.25%;抗菌药物使用率为49.14%,其中治疗用药占55.90%,预防用药占27.95%,治疗+预防用药占16.15%;一联用药占82.53%,二联用药占17.47%。结论现患率调查方法简单、有效,可基本反映医院感染实际情况,应加强医院感染管理,规范科室抗菌药物的使用。更多还原

【Abstract】 OBJECTIVE To understand the status of nosocomial infection,antimicrobial drug use and problems in nosocomial infection management,to provide a scientific basis for further development of nosocomial infection control measures.METHODS All hospitalized cases on a day were investigated by searching medical records combined with hospital bed bedside investigation.RESULTS Among 466 cases of investigated inpatients,16 cases were nosocomial infection with the prevalence infection rate of 3.43%.The prevalence rates in infection sites were the followings: lower respiratory tract 56.25%,upper respiratory tract 18.75%,skin,oral cavity,incision and urinary tract 6.25%.The use rate of antibacterial drugs was 49.14%,among which drugs for therapy accounted for 55.90%,drugs for prevetion accounted for 27.95%,treatment and prophylaxis accounted for 16.15%;the first joint drugs accounted for 82.53%,the second joint drugs together accounted for 17.47%.CONCLUSION The investigation method of prevalent infection rate is simple,effective,and can basically reflect the actual situation of nosocomial infection.Nosocomial infection control should be to strengthen and the use of antibiotics in department should be standardized.更多还原