综合性医院医院感染现患率调查分析

目的　每年在同一时间进行医院感染现患率监测 ,了解医院感染发生情况以及医院感染管理中存在的问题 ,寻找发生原因 ,改进工作不足环节。方法　按照卫生部医院感染监控网培训基地要求 ,制定统一表格 ,采取床边调查及查阅病历相结合 ,得出结果予以统计。结果　 3年现患率调查病人数超过 95 % ,2 0 0 1年调查人数 97% ,2 0 0 2年为 97 8% ,2 0 0 3年为 96 4 % ;达到卫生部医院感染监控网要求的 90 %。 3年现患率结果 2 0 0 1年现患率为 7 4 % ,2 0 0 2年现患率为 7 0 % ,2 0 0 3现患率为 6 7%。结论　现患率监测比连续性调查医院感染率明显增高 ;医院感染部位调查依次为下呼吸道感染、上呼吸道感染、皮肤黏膜感染、泌尿道感染 ;各科室抗菌药物使用情况、现患率监测结果显示 3年结果均未超过 5 0 %。

INVESTIGATION OF NOSOCOMIAL INFECTION PREVALENCE RATE IN COMPREHENSIVE HOSPITAL

Objective Surveillance of nosocomial infection rate was undertaken in the same time annually in our hospital to find out the situation and administration problem of nosocomial infection. Methods According to the table established by the training base of nosocomial infection supervise net which was regulated by Ministry of Public Health, we got the data through bed-side examination and medical records and made a statistic analysis. Results To get the prevalence rate of recent 3 years, we have investigated above 95% of total patients. We have investigated 97% of total patients in 2001, in 2002 and 2003, it was 97.8% and 96.4%, respectively, which surpassed the standard regulated by Ministry of Public Health. The prevalence rate in 2001 was 7.4%,7.0% in 2002 and 6.7% in 2003. Conclusions Surveillance of prevalence rate is much higher than nosocomial infection rate of continuous investigation; according to the study, nosocomial infection sites are lower respiratory tract, upper respiratory tract, skin and mucous membrane, urinary tract sequentially; The using rate of antibiotics have been lower than 50% in each segment recent 3 years.