2014年某儿童医院住院患者医院感染现患率调查

摘要:目的　掌握儿童医院感染发生率及影响因素，发现医院感染管理中存在的问题和医院感染发生的规律，加强预防控制措施提供依据。方法　确定某日为调查日期，对参与调查人员进行培训，调查方法分2种，分别为床旁调查和电子病历查阅，调查人员认真填写个案登记表。感控专职人员总结数据，进行统计分析。结果　调查住院患者999例，医院感染现患率为4.60%，例次现患率为4.80%。感染部位以下呼吸道为首位，构成比为64.58%。检出病原菌以金黄色葡萄球菌占首位。全院抗菌药物使用率65.97%，治疗用药占91.81%。结论　本次调查资料反映了现阶段医院感染实际情况，掌握了医院感染率和病原体临床分布的特征，可以采取措施加强重点科室目标性监测，降低呼吸道感染，降低医院感染率。

Investigation and analysis on the prevalence of nosocomial infections in Children's Hospital in 2014

Abstract: Objective This work was to understand the prevalence, pattern and influencing factors of nosocomial infections in the hospitalized patients in Children's Hospital, so as to find of the problems of hospital infection control and provide the basis for improving nosocomial infection management and strengthening preventive measures. Methods The investigation personnel was trained on a chosen date, then both bedside survey and electronic medical record collection were conducted. The data were statistically analyzed by personnel for infection control. Results A total of 999 hospitalized patients were investigated. The prevalence of current nosocomial infections was 4.60%. The prevalence of infection cases was 4.80%. Lower respiratory tract infection accounted for 64.58%. Staphylococcus aureus was the predominant pathogens causing nosocomial infections. The utilization rate of antibiotics in the hospitalized patients was 65.97%. The patients who were treated with an antibacterial drug accounted for 91.81%. Conclusion The survey accurately reflected the status of nosocomial infections, was helpful for the understanding of the clinical characteristics of nosocomial infections and pathogen distribution pattern. Effective measures should be taken in key departments, so as to reduce nosocomial infections.