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目的比较某院2013年-2015年医院感染全年调查与现患率调查情况,研究医院感染现患率调查对全年医院感染情况的代表性,分析影响医院感染发生率的危险因素与抗菌药物的合理应用情况。方法对2013年10月31日、2014年6月6日、2015年6月13日所有住院患者进行调查,填写统一现患率调查表。同时对3年出院患者进行回顾性调查。结果 2013年-2015年全院出院人数95 430人,感染例数2 317例,医院感染率为2.43%。感染部位以下呼吸道感染为主,占比超过40%。全院调查60 154例住院患者中22 435例使用抗菌药物,使用率为37.30%,治疗使用抗菌药物11 202人,占49.93%。病原学送检7 526例,病原学送检率为67.18%。结论医院感染现患率能较好地反映全年医院感染情况,但抗菌药物使用与病原学送检仍为全年监测更客观指标。
Objective To compare the survey of hospital infection from 2013 to 2015 and the prevalence rate of hospital infection in a hospital between 1999 and 2015. To study the representative prevalence of hospital prevalence among hospital infection in recent years and to analyze the risk factors influencing the incidence of hospital infection and the rational use of antibiotics Application. Methods All inpatients on Oct. 31, 2013, Jun. 6, 2014 and Jun. 13, 2015 were surveyed, and the questionnaire for common prevalence rate was filled in. At the same time, 3 years of discharged patients were retrospectively investigated. Results From 2013 to 2015, there were 95 430 hospital discharges, with 2 317 cases of infection and hospital infection rate of 2.43%. Infections following the main respiratory tract infection, accounting for more than 40%. Among the hospitalized patients, 22,435 inpatients were treated with antibiotics, with a utilization rate of 37.30% and 11,202 antibiotics, accounting for 49.93%. 7 526 cases were sent for etiology, and the etiological examination rate was 67.18%. Conclusion The prevalence rate of nosocomial infection can reflect the annual nosocomial infection, but the use of antimicrobial agents and etiological examination are still more objective indicators of annual monitoring.