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目的了解基层医院感染实际现状、感染病原菌分布以及抗菌药物使用情况。方法采取横断面调查方法对某区级医院住院患者进行调查。结果调查当日实查该医院住院患者485例,查出医院感染15例、19例次,感染现患率为3.09%、例次感染率为3.92%。感染患者主要分布在ICU和神经外科以及骨科。感染部位以下呼吸道为主,占42.11%;其次是泌尿道感染。检出病原菌15株,以鲍曼不动杆菌为主。调查当日住院患者抗菌药物使用率为28.25%。结论该区级医院感染管理工作比较规范,抗菌药物使用较合理,应重点加强目标性监测和重点防控。
Objective To understand the actual status of primary hospital infection, the distribution of infectious pathogens and the use of antibacterials. Methods A cross-sectional survey was conducted to investigate the inpatients in a district-level hospital. Results On the day of investigation, 485 hospitalized patients were investigated in the hospital. Among 15 hospitalized cases, 19 cases were found, the prevalence rate was 3.09% and the infection rate was 3.92%. Infected patients are mainly found in ICU and neurosurgery as well as orthopedics. Respiratory tract infection-based following, accounting for 42.11%; followed by urinary tract infections. Fifteen pathogens were detected, mainly Acinetobacter baumannii. On the day of investigation, the usage rate of antibiotics in hospitalized patients was 28.25%. Conclusion The management of hospital infection in this district is quite standardized, and the use of antibacterials is more reasonable. Therefore, we should focus on strengthening targeted monitoring and prevention and control.