【摘要】 目的了解某妇幼保健院医院感染现状及抗菌药物使用情况,为更好地预防和控制医院感染提供依据。方法采用横断面调查,以及查阅电子病历与床旁调查相结合的方法,对2010—2014年该院住院患者进行医院感染现患率调查。结果 2010—2014年医院感染现患率分别为3.29%、5.20%、3.97%、3.93%、3.73%。医院感染现患率居首位的科室为儿科(9.09%~12.96%),感染部位以上呼吸道居首位(50.00%~69.56%)。住院患者抗菌药物使用率分别为50.19%、41.40%、23.40%、25.47%、23.92%,逐年下降(χ2=133.40,P<0.001);预防用药率高达57.38%~75.47%;单一用药率均>95%。结论 2010—2014年该院住院患者抗菌药物使用率总体呈下降趋势,但预防用药比例高,医院应加强抗菌药物使用的管理。更多还原

【Abstract】 Objective To investigate the prevalence rates of healthcare-associated infection(HAI)and antimicrobial use in a maternal and child health hospital,so as to provide reference for preventing and controlling HAI.Methods A cross-sectional survey on HAI prevalence of all hospitalized patients from2010to2014 was conducted by combination of bedside examination and medical record review.Results The prevalence rates of HAI in2010—2014 was 3.29%,5.20%,3.97%,3.93% and 3.73% respectively.HAI mainly occurred in patients at department of pediatrics(9.09%-12.96%),the major infection site was upper respiratory tract(50.00%-69.56%).Antimicrobial usage rate was 50.19%,41.40%,23.40%,25.47% and 23.92% respectively,which decreased year by year(χ2=133.40,P<0.001);antimicrobial prophylactic usage rate was as high as 57.38%-75.47%;single usage rate were all>95%.Conclusion Antimicrobial agents used by hospitalized patients showed a overall downward trend from2010to2014.,but antimicrobial prophylactic usage rate is high,management of antimicrobial agents should be strengthened.更多还原