我院医院感染现患率调查结果与分析.docVIP

精品论文 参考文献 我院医院感染现患率调查结果与分析 自贡市第一人民医院 643000 【摘 要】目的：了解我院医院感染现状，对医院感染控制工作进行准确的评价，为进一步制定预防与控制感染的措施提供依据。方法：床旁调查和查阅住院病历相结合，对我院2013年7月20日的住院患者进行医院感染现患率调查。结果：应调查住院患者1466人，实际调查1455人,实查率99.25％；医院感染病人31人，医院感染现患率2.13％；感染率较高的科室依次为胸外科，肾病内科、神经外科、康复科；医院感染部位主要为下呼吸道、上呼吸道、胃肠道、泌尿道；医院感染分离出病原菌5株，以大肠埃希菌为主，占 40 ％；当日抗菌药物使用率45.91％，病原学送检率为60.48％。结论：我院院内感染得到了有效控制，但重点环节还应加强监控，应合理使用抗菌药物，降低院内感染发生率。 【关键词】医院感染；现患率；调查分析 【中图分类号】R18 【文献标识码】B 【文章编号】1674-8999（2015）9-0937-02 Investigation and Analysis of Nosocomial Infection Prevalence Rate in Our Hospital Wang Zhujun First Peoplersquo;s Hospital in Zigong 【Abstract】Objective：To understand the status of nosocomial infection and evaluate the hospital infection control work correctly in our hospital. In order to provide the basis for the further development of infection prevention and control measures. Methods：The prevalence rate of nosocomial infection in our inpatients on 20th in July,2013 was investigated by a cross-sectional survey method combined with bedside investigation and review of medical records. Results：A total of 1455 inpatients were investigated out of 1466 inpatients, and the actual investigation rate was 99.25%; 31 inpatients had nosocomial infection, and the prevalence rate was 2.13%. Higher prevalence of departments were thoracic surgery, renal medicine, neurosurgery, rehabilitation; infection site mainly for lower respiratory tract, upper respiratory tract, gastrointestinal tract, urinary tract; nosocomial infection pathogens isolated from 5 to Escherichia bacteria, accounting for 40%; day antimicrobial usage 45.91%, pathogenic detection rate of 60.48%. Conclusion：The hospital nosocomial infection has been effectively controlled, but should also strengthen monitoring key aspects. Whatrsquo;s more, we should be rational while using of antibiotics to reduce the incidence of nosocomial infections. 【Key Words】Hospital infection; Prevalence rate; investigation an