2012年医院感染横断面调查与分析

发布时间：2018-11-08 06:45

【摘要】：目的了解医院感染现患率,为医院感染预防和控制措施提供科学依据。方法按"2012年全国医院感染横断面调查计划书"要求,采取床旁与病历调查相结合的方法,对2012年4月27日的住院患者进行调查,包括当日出院、转科、死亡的患者,不包括当天新入院的患者。结果实查住院患者1 827例,发生医院感染100例、125例次,医院感染现患率为5.47%、例次感染率为6.84%;综合ICU医院感染率最高占51.85%;医院感染部位以下呼吸道居首位,共55例次占44.00%;其次为泌尿道感染,29例次占23.20%;下呼吸道感染中气管切开相关性肺炎及呼吸机相关性肺炎分别占32.73%、18.18%;泌尿道感染中导尿管相关性尿路感染占65.52%;医院感染病原菌鲍氏不动杆菌占18.99%,排在第1位;抗菌药物的使用率为44.94%。结论应加强对高危科室的目标性监测,减少侵入性操作,合理使用抗菌药物,以降低医院感染发生率。
[Abstract]:Objective to investigate the prevalence of nosocomial infection and provide scientific basis for prevention and control of nosocomial infection. Methods according to the requirement of the National Nosocomial infection Survey Plan 2012, we investigated the inpatients who were hospitalized on April 27, 2012, including those who were discharged from hospital, transferred to hospital and died on the same day. New admission on the same day is not included. The nosocomial infection rate was 5.47, the infection rate was 6.84, the nosocomial infection rate was 51.85, and the total nosocomial infection rate was 51.85. The respiratory tract below the site of nosocomial infection was the first, with 55 cases accounting for 44.00 times, followed by urinary tract infection with 29 cases accounting for 23.20%. In lower respiratory tract infection, tracheotomy associated pneumonia and ventilator-associated pneumonia accounted for 32.73 and 18.18 respectively, urinary catheter associated urinary tract infection accounted for 65.52 in urinary tract infection. Acinetobacter baumannii, the pathogen of nosocomial infection, accounted for 18.99%, ranking first, and the utilization rate of antimicrobial agents was 44.94%. Conclusion it is necessary to strengthen the objective monitoring of high risk departments, reduce invasive operation and rational use of antimicrobial agents in order to reduce the incidence of nosocomial infection.
【作者单位】：南京医科大学附属无锡市人民医院感染管理科;
【基金】：南京医科大学科研基金项目(2010NJMU097)
【分类号】：R181.32

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