【摘要】 目的了解上海某医院住院患者医院感染状况及抗菌药物的使用情况,为医院感染预防与控制提供依据。方法采用横断面调查的方法,对某医院所有住院患者医院感染及相关因素进行调查与分析。结果调查该医院住院患者684例,发生医院感患者39例,医院感染现患率为5.70%。患者感染部位中,呼吸道感染占69.23%,其中53.85%为下呼吸道感染;泌尿道占15.38%。共分离出病原菌15株,金黄色葡萄球菌、铜绿假单胞菌、肺炎克雷伯菌和肠球菌居前4位。调查当日抗菌药物使用率为38.60%,治疗性用药患者病原学标本送检率为44%。结论该医院住院患者医院感染现患率较高,需加强高危科室、高危人群的医院感染管理。更多还原

【Abstract】 Objective To understand the status of nosocomial infection and the use of antibiotics in a hospital in Shanghai,so as to provide basis for the prevention and control of hospital infection. Methods The cross-sectional survey was used to investigate all patients with nosocomial infections and related factors. Results 39 cases were infected in 684 patients investigated,with the prevalence rate of nosocomial infection 5. 70%. The respiratory tract was the predominant infection site( 69. 23%),and the lower respiratory tract infections accounted for 53. 85%; followed by urinary tract infections( 15. 38%). A total of 15 strains of pathogens were isolated,the top four species were methicillin-resistant Staphylococcus aureus,Pseudomonas aeruginosa,Klebsiella peneumoniae and Enterococcus. The usage rate of antibiotics was 38. 60%,and the submission rate of etiology for therapeutic medication was 44%. Conclusion The prevalence rate of nosocomial infection in patients in the hospital is high. It’s necessary to strengthen the management of departments and population at high risk of nosocomial infections.更多还原