【摘要】 目的了解某妇幼保健院医院感染的实际情况、变化趋势及抗菌药物使用情况,为有效预防与控制医院感染提供依据。方法采用横断面调查,查阅住院病历、电子病历与床旁调查相结合的方法,对2009~2014年该院住院患者进行医院感染现患率调查。结果 2009~2014年医院感染现患率分别为0.96%、1.82%、0.00%、0.85%、0.61%、1.51%。医院感染现患率居首位的科室为新生儿科(3.13%~5.71%),感染部位以手术部位感染居首位(33.33%~100%)。住院患者抗菌药物使用率分别为45.19%、56.00%、42.22%、25.57%、23.93%和15.36%,呈逐年下降趋势;预防用药比例一直居首位(49.02%~67.95%);单一用药率均>90%。结论医院感染现患率调查有助于了解医院感染和抗菌药物使用情况,以及发生医院感染的高危科室和高发部位,为抗菌药物的合理应用,后期有效开展医院感染目标性监测提供有力的依据。更多还原

【Abstract】 Objective To understand the actual situation, changing trend and antibiotics usage of hospital infection in a hospital, and to provide evidence for the prevention and control of hospital infection. Methods A cross-sectional survey was conducted to investigate the prevalence of nosocomial infection in 2009-2014. Results The prevalence rates of nosocomial infection in 2009-2014 was 0.96%,1.82%, 0.00%, 0.85%, 0.61% and 1.51%. the highest prevalence rate in all departments was at neonatology department of Pediatrics(3.13% ~ 5.71%), The easiest infection site was surgical spot(33.33%~ 100%). The usage rate of antibiotics in hospitalized patients was45.19%, 56%, 42.22%, 25.57%, 23.93% and 15.36% respectively, which showed a declining trend year by year; Preventive medicine proportion has been ranked the highest(49.02%~67.95%); The single drug usage rate was above 90%. Conclusion Prevalence survey of nosocomial infection is helpful to make clear to the hospital infection and use of antibacterial drugs, and to find the high risk department in hospital infection and high risk area. Finally, it can draw a strong basis on rational use of antibacterial drugs and effective development of hospital infection surveillance later.更多还原