【摘要】 目的了解某妇幼保健院2014年医院感染情况,为进一步目标性监控提供科学循征依据。方法采用床旁调查与在架运行病历调查相结合的方法,对该院住院患者进行医院感染横断面调查。结果实查住院患者768例,发现医院感染9例,医院感染现患率为1.18%;现患率排名居前3位的科室依次为产科重症监护室(ICU,9.09%)、新生儿ICU(NICU,5.80%)、妇二区(2.22%);抗菌药物使用率为30.34%(233例),其中预防性使用抗菌药物134例,占57.51%;单一用药者165例,占70.82%。医院感染患者共检出病原菌5株,其中无乳链球菌2株,肺炎克雷伯菌、粪肠球菌、腐生葡萄球菌各1株,除无乳链球菌外,其余3株均为多重耐药菌。结论医院应高度重视多重耐药菌的感染监控,采取目标性监测与集束化干预的方法,以降低多重耐药菌医院感染的发生。更多还原

【Abstract】 Objective To understand healthcare-associated infection(HAI)in a maternal and child health care hospital,so as to provide scientific evidences for further targeted surveillance.Methods A cross-sectional survey was performed by bedside visiting and medical record reviewing.Results Of 768 hospitalized patients,9(1.18%)had HAI,the top 3 highest prevalence rates were found in obstetrical intensive care unit(9.09%),neonatal intensive care unit(5.80%)and gynecological department II(2.22%).Antimicrobial usage rate was 30.34%(n=233),134 of which(57.51%)were prophylactic use,165 were mono-therapy(70.82%).A total of 5 pathogenic bacteria were isolated,the number of Streptococcus agalactiae,Klebsiella pneumonia,Enterococcus faecalis,and Staphylococcus saprophyticus was 2,1,1,and 1 respectively,except Streptococcus agalactiae,the other 3 strains were multidrugresistant organisms(MDROs).Conclusion Surveillance on MDRO infection should be paid much attention,the occurrence of MDRO infection should be reduced through targeted and bundle intervention.更多还原