医院感染现患率调查分析

目的 了解医院感染发生情况与影响因素,以改进医院感染发病率监测方法与医院感染预防与控制措施.方法 以医院感染专职人员为主,临床医院感染管理小组兼职人员协同,调查前1 d零时至当日零时所有住院患者,床旁调查和查阅病历相结合,填写统一的床旁调查表和个案病史调查表,对调查结果进行统计分析.结果 应调查住院患者123例,实际调查119例,实查率为96.8%,发生医院感染现患率为6.7%,感染部位以呼吸道为首位;抗菌药物使用率为39.5%.结论 此方法可以在短期内全面了解医院感染的现状,根据结果提示有针对性地开展目标性监测,加强临床标本送检,规范抗菌药物合理使用,从而不断降低医院感染率.

Prevalence of Hospital infection

OBJECTIVE To investigate the infection condition and associated causative factors in our hospital in order to improve the methods of monitoring, preventing and controlling infection. METHODS All patients admitted in 24 hours were investigated, including record review and patient examination. Participants mainly consisted of the specialized staff, with assistant administrative staff for hospital infection. The investigating table was filled for record review and patient examination respectively. Statistical analysis was performed. RESULTS 119 of the 123 hospitalized patients were investigated (96.8 %). The current rate for hospital infection was 6.7 %.The most infected site was respiratory tract. Antibiotics was used in 39.5% of the patients. CONCLUSIONS The current method can be used for investigating the present state of hospital infection. Based on the investigation,objective monitoring, intensified specimens detection, and reasonable antibiotics administration can be perIormed to decrease the incidence of hospital infection.