基层医院医院感染现患率调查分析

目的 了解基层医院医院感染现患率,常见感染部位,影响因素,发现医院感染管理中存在的问题,为有效开展医院感染目标性监测提供依据.方法 参照〈全国医院感染现患率调查〉方案,制定统一表格,采取床边调查和在架病案调查相结合的方式.结果 实际调查1110例,实查率为98.67%,医院感染现患率是3.96%,现患例次率是4.32%,抗感染药物使用率60%.结论 侵入性操作、免疫抑制剂、放化疗、年老体弱、慢性疾病是医院感染的主要危险因素,为有效开展目标性监测提供了依据.另外,高端抗生素的滥用也是今后医院感染管理研究的重要课题.

Investigation of prevalence rate in primary hospital

Objective To understand primary hospital infection prevalence rate,common infection sites and infection factors to provide evidences for working out methods of nosocomial infection surveillance. Methods According to investigation of the national hospital infection prevalence rate, the uniform tables were made. All patients were investigated by bed - visiting and patients medical records were checked. Results In 1110 cases,the actual investigation rate was 98.6% ,the prevalence rate was 3.96% ,the case rate of NI was 4.32% and antibiotics usage rate was 60%. Conclusion The invasive operation, immunosuppressive agent,radiochemotherapy, the old and frail, and chronic diseases were main dangerous factors of hospital infection. The prevalence survey is a rapid and efficient method, which could offer evidence of target surveillance of N1. In addition,abuse of advanced antibiotics would become the important research topic in the future.