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目的了解中医院住院患者医院感染现患率及抗菌药物使用情况,为预防和控制提供参考依据。方法通过横断面调查方法,对某大型中医医院住院患者医院感染现患率及医院感染管理相关指标情况进行调查。结果在2013年和2014年某调查日分别实查住院患者1 687例和1 790例,医院感染现患率分别为3.44%和2.68%,例次现患率分别为4.21%和2.79%。各科室医院感染率以重症医学科最高,医院感染部位以下呼吸道为主。抗菌药物日使用率分别为29.58%和31.84%;治疗性用药患者病原学送检分别为48.22%和44.35%。结论该中医院住院患者医院感染现患率与综合性医院接近,应当加强病原菌监测和药敏试验,严格控制抗菌药物使用。
Objective To understand the prevalence of nosocomial infections and the use of antimicrobial agents in hospitalized patients in TCM Hospital and provide a reference for prevention and control. Methods By means of cross-sectional survey, the prevalence of nosocomial infection in hospital in a large Chinese medicine hospital and the related indicators of nosocomial infection were investigated. Results A total of 1 687 inpatients and 1 790 inpatients were surveyed on a survey day in 2013 and 2014 respectively. The prevalence rates of nosocomial infections were 3.44% and 2.68% respectively. The prevalences of cases were 4.21% and 2.79% respectively. The prevalence of hospital infection in various departments is the highest in the department of critical care medicine, and the main respiratory tract of the following hospital infection site. The daily use rates of antimicrobial agents were 29.58% and 31.84%, respectively. The etiological tests of therapeutic agents were 48.22% and 44.35% respectively. Conclusion The prevalence of nosocomial infections in hospitalized patients in this hospital is similar to that in general hospitals. Pathogen surveillance and drug susceptibility tests should be strengthened to strictly control the use of antimicrobial agents.