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926例医院感染现患率及抗菌药物应用调查分析
引用本文:王瑞臣,沈钺,杨又力,任耘,马建荣,马兰荣.926例医院感染现患率及抗菌药物应用调查分析[J].中华医院感染学杂志,2008,18(1):89-91.
作者姓名:王瑞臣  沈钺  杨又力  任耘  马建荣  马兰荣
作者单位:天津医科大学总医院感染管理科,天津,300052
摘    要:目的了解医院感染现患率和横断面抗菌药物使用情况。方法床旁调查与查阅住院病历相结合,进行统计分析。结果调查住院患者926例,现患率为6.37%,现患例次率为6.48%;高危科室为血液科、神经外科、中西外科;感染部位依次是下呼吸道、泌尿道、手术伤口;铜绿假单胞菌仍是下呼吸道感染的主要致病菌;抗菌药物当天使用率为40.39%,神志不清、气管切开、留置尿管等是医院感染高危因素;外科围手术期预防用药偏高,使用抗菌药物共42种。结论加强对高危科室目标监测,进一步规范抗菌药物的使用,控制医院感染的发生。

关 键 词:医院感染  现患率  调查分析  控制医院感染  现患率  抗菌药物  应用调查分析  Antibiotics  Analysis  Patients  Rate  发生  规范  目标监测  加强  预防用药  围手术期  感染高危因素  留置尿管  气管切开  使用  致病菌  下呼吸道感染
文章编号:1005-4529(2008)01-0089-03
收稿时间:2007-01-25
修稿时间:2007-04-20

Prevalence Rate of Nosocomial Infecticn in 926 Patients and Analysis of Antibiotics Usage
WANG Rui-chen,SHEN Yue,YANG You-li,REN Yun,MA Jian-rong,MA Lan-rong.Prevalence Rate of Nosocomial Infecticn in 926 Patients and Analysis of Antibiotics Usage[J].Chinese Journal of Nosocomiology,2008,18(1):89-91.
Authors:WANG Rui-chen  SHEN Yue  YANG You-li  REN Yun  MA Jian-rong  MA Lan-rong
Abstract:OBJECTIVE To know the real condition of the prevalence of nosocomial infection(NI) in our hospital,in order to enhance the consciousness of nosocomial infection control in whole staff,so that this work will be done well.METHODS We got the data through bed-side examination and medical records and made a statistic analysis.RESULTS Among 926 investigated patients,59 patients(6.37%) had 60 cases(6.48%) NI.Departments with high risk were for hematology,neurosurgery,and Chinese-Western combination surgery.The common NI sites were the lower respiratory tract,urinary tract and surgical sites;Pseudomonas aeruginosa was a main pathogen for the lower respiratory tract.The antibiotic use rate was 40.39%.The high risk factors were patients with unconsciousness,undergoing tracheotomy or urethral catheterization and so on.The postoperative use appeared to be higher than usual.The antibiotics used included 42 kinds.CONCLUSIONS It is recommended that specific surveillance be conducted in Departments with high risk for nosocomial infection,the wide-spectrum antibiotics should be stressed in order to reduce drug resistance and nosocomial infection.
Keywords:Hospital infection  Prevalence rate  Investigation and analysis
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