2013年河南省60所中医院医院感染现患率调查分析

发布时间：2018-03-02 08:57

本文关键词： 医院感染现患率中医院抗菌药物　出处：《中华医院感染学杂志》2014年10期 　论文类型：期刊论文

【摘要】：目的了解河南省中医系统医院感染现状,为控制医院感染、提高医疗服务质量提供决策依据。方法按照原卫生部《医院感染监测规范》的要求,采用查阅住院病历和床旁调查的方法,于2013年5月20日在河南省60所中医院开展医院感染现患率调查,借助全国医院感染监控管理培训基地的网络直报系统收集数据。结果 60所中医院应查18 112例,实查18 031例,实查率99.55%;医院感染平均现患率为2.21%,综合ICU医院感染现患率最高,为23.68%;Ⅰ类手术切口患者手术部位医院感染平均现患率为0.74%;医院感染现患率按科室排列由高到低为:综合ICU、儿科新生儿组、神经外科、胸外科、血液病科、肿瘤科、神经内科、内分泌科、普外科、消化科;不同规模医院医院感染现患率差异无统计学意义;所有调查医院抗菌药物使用率平均为35.24%,不同规模医院抗菌药物使用率差异有统计学意义(P0.05);除儿科及综合ICU外,科室抗菌药物使用率前十位均为外科。结论中医系统内综合ICU为医院感染高危科室;医院规模越大,抗菌药物使用率越低;中医系统医疗机构依然需要加强医院感染管理工作。
[Abstract]:Objective to understand the present situation of hospital infection in traditional Chinese medicine (TCM) system in Henan Province, and to provide decision basis for controlling nosocomial infection and improving the quality of medical service. In May 20th 2013, a survey on the prevalence of nosocomial infection was carried out in 60 Chinese medicine hospitals in Henan Province by means of consulting hospital records and bedside surveys. Results 18 112 cases should be checked in 60 Chinese medicine hospitals, 18 031 cases should be checked, and the actual investigation rate was 99.550.The average prevalence rate of hospital infection was 2.21, and the nosocomial infection rate of comprehensive ICU was the highest. The average incidence rate of nosocomial infection in patients with type I surgical incision was 0.74. The incidence rate of nosocomial infection ranged from high to low by department of department: integrated ICU, pediatric neonatal group, neurosurgery, thoracic surgery, hematological department, oncology, neurology, neurology. There was no significant difference in nosocomial infection prevalence rate among different size hospitals in endocrine department, general surgery department and digestive department. The average utilization rate of antimicrobial agents in all hospitals investigated was 35.24. There were significant differences in the utilization rates of antimicrobial agents between hospitals of different sizes (P 0.05), except paediatrics and comprehensive ICU. Conclusion Comprehensive ICU in TCM system is high risk department for nosocomial infection; the larger the hospital scale, the lower the utilization rate of antimicrobial agents; and the more hospital infection management work should be strengthened in the medical institutions of TCM system.
【作者单位】：河南省中医院感染管理科河南省中医(中西医结合)医院感染质量控制中心;
【基金】：河南省科技厅科技攻关基金资助项目(112102310693)
【分类号】：R181.32

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