儿童专科医院感染现患率调查报告

目的了解儿童专科医院感染的实际情况、抗菌药物使用情况，发现医院感染管理中存在的问题，为提高医院感染的管理水平提供科学依据。方法采取床边调查和住院病历调查相结合，填写统一的个案调查表，对2009年12月8日的住院惠儿进行医院感染现患率调查。结果调查住院患儿475例，医院感染现患率5．89％，感染例次率为6．10％；日抗菌药物使用品种31种，使用率为88．84％；感染部位主要为上呼吸道和消化道。结论儿童医院感染主要部位是上呼吸道和消化道感染，与成人综合医院有所不同；对于儿童，住院过程中的许多因素均是引起医院内感染的高危因素；对感染高发科室，需重点监控，加强环境清洁和消毒，认真落实各项无菌操作技术规范等法律法规；落实医务人员手卫生规范；加强抗菌药物使用管理．杜绝抗菌药物的滥用。

A Survey on Prevalence Rate of Nosocomial Infection in Children's Hospital

Objective To investigate the actual situation of nosocomial infection and the use of antibiotics, and to discover the problems existing in the infection administration in children hospitals, providing scientific references for the improvement in the infection management of these hospitals. Methods The standard case questionnaires were filled combined bedside investigation with medical records, the prevalence rate of nosocomial infection was surveyed on December the 8th, 2009 in all inpatients. Results The survey on 475 cases of hospitalized patients found that the infection rate was 5.89% ,the incidence was 6.10% ,31 different kinds of antibiotics were used daily and the use rate was 88.84% ;the infections mainly occurred in the upper respiratory tract and digestive tract. Conclusion Different from the case in comprehensive hospitals for adults, the upper respiratory tract and digestive tract arc prone to infection in children ＇ s hospital. There exist many risk factors in hospital intriguing the nosocomial infection. Therefore, we should monitor highly infectious departments, strengthen environmental cleaning and disinfection, implement laws and regulations such as the standards of asepsis techniques and medical staff hand hygiene practices, strengthen the management of antimicrobial drug use and prevent the abuse of antibiotics.