厦门市医院感染现患率现况分析

发布时间：2018-07-31 10:19

【摘要】：目的了解厦门市二级、三级医院感染发生情况,为感染控制提供依据。方法于2013年8月15日-10月31日采用床旁调查和在架病历调查相结合的方法,对厦门市21所二级及以上医院所有住院患者的日现患率及抗菌药物日使用情况进行调查,采用SPSS 17.0统计软件进行统计处理。结果共调查21所医院住院患者1 0643例,发现医院感染患者358例,现患率为3.36%,医院感染部位主要为下呼吸道占49.87%;重症监护病房感染率最高,达38.89%;医院感染病原菌以革兰阴性杆菌为主,居首位的是铜绿假单胞菌45株占17.51%,真菌占检出病原菌的11.67%;抗菌药物平均日使用率为30.48%。结论为有效地预防与控制医院感染,应继续加大对重点科室的监管力度,加强抗菌药物合理使用,进一步提高病原菌送检率。
[Abstract]:Objective to investigate the incidence of nosocomial infection in two and three hospitals in Xiamen, and to provide evidence for infection control. Methods from August 15 to October 31, 2013, the daily prevalence rate and the daily use of antimicrobial agents were investigated among all the hospitalized patients in 21 hospitals in Xiamen. SPSS 17.0 statistical software was used for statistical processing. Results A total of 1 0643 inpatients in 21 hospitals were investigated, and 358 cases of nosocomial infection were found. The prevalence rate of nosocomial infection was 3.36. The main site of nosocomial infection was lower respiratory tract, and the infection rate in intensive care unit was the highest. The pathogens of nosocomial infection were Gram-negative bacilli, the most common pathogens were Pseudomonas aeruginosa 45 strains accounted for 17.51%, fungi accounted for 11.67% of the pathogenic bacteria, and the average daily utilization rate of antibiotics was 30.48%. Conclusion in order to effectively prevent and control nosocomial infection, we should continue to strengthen the supervision of key departments, strengthen the rational use of antimicrobial agents, and further improve the rate of pathogen testing.
【作者单位】：厦门大学附属第一医院感染管理部厦门市医院感染质量控制中心;
【基金】：中华医院感染控制研究基金资助项目(ZHYY13-018)
【分类号】：R181.32

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