2012年某妇女儿童医院医院感染现患率调查

发布时间：2018-04-29 19:38

本文选题：医院感染 + 现患率　；参考：《中华医院感染学杂志》2014年07期

【摘要】：目的调查妇女儿童专科医院医院感染现患率,针对医院特点采取相应的预防与控制措施,提高医院感染管理水平。方法采用横断面调查方法,调查2012年8月16日所有在院病例,采用SPSS12.0进行统计分析。结果共调查1 461例患儿,其中医院感染37例、39例次,医院感染现患率2.53%、例次感染率2.67%;感染部位依次为血液、下呼吸道、上呼吸道,分别占33.34%、25.65%、17.95%;感染高发科室依次为儿童ICU、血液科、心脏ICU、神经科;医院感染病原学送检率为76.92%,共检出医院感染病原体27株,主要为大肠埃希菌4株占14.81%,肺炎克雷伯菌4株占14.81%,铜绿假单胞菌3株占11.11%,粪肠球菌3株占11.11%,多药耐药菌株9株占33.33%;调查当日使用抗菌药物434例使用率为29.71%,276例送细菌学培养,使用抗菌药物患者病原学送检率63.59%。结论根据现患率调查结果,制定有针对性的感染控制措施,可以有效的降低医院感染的发生,保护患者安全。
[Abstract]:Objective to investigate the prevalence of nosocomial infection in hospital for women and children, and to improve the management level of nosocomial infection by taking corresponding prevention and control measures according to the characteristics of hospital. Methods A cross-sectional survey was carried out on August 16, 2012, and SPSS12.0 was used for statistical analysis. Results A total of 1 461 children were investigated, including 37 cases of nosocomial infection and 39 cases of nosocomial infection. The prevalence rate of nosocomial infection was 2.53 and the infection rate was 2.67.The infection sites were blood, lower respiratory tract and upper respiratory tract, respectively, which accounted for 33.344.65% and 17.95% respectively. The pathogenic rate of nosocomial infection was 76.92%, and 27 strains of nosocomial infection pathogens were detected. Four strains of Escherichia coli accounted for 14.81%, four strains of Klebsiella pneumoniae accounted for 14.81%, three strains of Pseudomonas aeruginosa accounted for 11.11%, three strains of Enterococcus faecalis accounted for 11.11 and 9 strains of multi-drug resistance accounted for 33.33%. The rate of pathogenic examination was 63.59 in patients with antimicrobial agents. Conclusion according to the investigation results of the present infection rate, it can effectively reduce the incidence of nosocomial infection and protect the safety of patients by making targeted infection control measures.
【作者单位】：广州市妇女儿童医疗中心感染控制科;
【基金】：广东省科技计划基金项目(2012B061700011)
【分类号】：R181.32

【参考文献】