儿童医院3年医院感染现患率调查分析

发布时间：2018-05-03 13:52

本文选题：医院感染 + 现患率　；参考：《中华医院感染学杂志》2014年01期

【摘要】：目的了解医院感染现患率、医院感染相关因素及抗菌药物使用情况,为完善医院感染监控提供依据。方法采用横断面调查的方法,对2008年5月18日、2010年6月14日、2012年5月16日0∶00-24∶00的住院患者进行调查,以统一标准填写调查表并进行资料统计分折。结果 3年共调查住院患者1127例,实查率均为100.0%,3年现患率分别为3.58%、1.32%、2.42%,3年的医院感染现患率比较差异无统计学意义;感染部位以上呼吸道、下呼吸道、胃肠道为主,分别占55.56%、25.93%、18.52%;抗菌药物使用率为66.49%,一联使用占85.33%,二联使用占13.33%,三联使用占1.33%,送检率为35.33%,3年送检率呈递增趋势;病原菌以革兰阴性菌为主,占66.67%。结论加强病房管理,关注血液科、神经内科的医院感染控制,减少陪护可降低医院感染的发生。
[Abstract]:Objective to investigate the prevalence of nosocomial infection, the related factors of nosocomial infection and the use of antimicrobial agents, so as to provide evidence for improving the surveillance of nosocomial infection. Methods A cross-sectional survey was used to investigate the inpatients of 0: 00-24: 00 on May 18, 2008, June 14, 2010, May 16, 2012. Results A total of 1127 inpatients were investigated in 3 years, the actual rates were 100.00.The present rates of 3 years were 3.58 and 1.32 and 2.42, respectively. There was no significant difference in nosocomial infection rate in 3 years, and the main sites of infection were upper respiratory tract, lower respiratory tract and gastrointestinal tract. The utilization rate of antimicrobial agents was 66.49, 85.33, 13.33, 1.33 and 1.33, respectively. The rate of examination was 35.333.The rate of submission was increasing in three years, and the pathogenic bacteria were Gram-negative bacteria, accounting for 66.67B. Conclusion strengthening ward management, paying attention to nosocomial infection control in hematology department and neurology department, reducing accompanying nursing can reduce nosocomial infection.
【作者单位】：首都儿科研究所附属儿童医院感染管理处;
【基金】：首儿所科研基金资助项目(所-12-A08)
【分类号】：R181.32

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