某医院4年感染现患率与抗菌药物使用调查分析

目的了解医院感染现状及抗菌药物使用情况,为控制医院感染危险因素及合理使用抗菌药物提供依据。方法采取床旁调查和查阅病历相结合的方法,对重庆市第五人民医院2009～2012年医院感染现患率进行调查。结果 4年住院患者抗菌药物当日使用率从67.92%降至43.12%,一联用药构成比从65.08%上升至86.13%,二联用药构成比由34.52%降至13.87%,三联及以上用药构成比降至0.00%。治疗使用抗菌药物病原学送检率由7.00%提高至32.64%。结论通过现患率调查,对调查日抗菌药物使用情况进行分析比较,能客观真实地反映出本院抗菌药物使用情况。

Investigation of 4 years of nosocomial infection prevalence rate and antimicrobial usage

Objective To investigate the current status of nosocomial infections and the antimicrobial usage in the hospitalized patients,in order to provide a basis for control the risk factors of nosocomial infection and the rational use of antimicrobials.Methods Using the combined method for clinical investigation and case histories,the prevalence rate of nosocomial infection was investigated from 2009 to 2012.Results The use of antibacterials in patients hospitalized rate from 67.92% to 43.12%,constituent ratio from 65.08% to 86.13% in the single antibacterials,constituent ratio from 34.52% to 13.87% in two drugs,more than two kinds of antimicrobials constituent ratio fell to 0.00%.The therapeutic use of antibacterials pathogenic detection rate increased from 7.00% to 32.64%.Conclusion Which can objectively reflect the use of antimicrobials in a hospital by prevalence rate investigation,analysis and comparison of antimicrobial usage on the survey day.