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目的调查医院感染及抗菌药物使用情况,为临床用药及预防医院感染提供依据。方法按照卫生部《医院感染诊断标准》,采取床旁调查与查阅住院病历相结合的方法,对调查当日所有住院患者进行医院感染现患率调查。结果 2009-2011年分别调查住院患者942、929、970例,实查率均为100.00%,医院感染现患率分别为4.14%、4.52%、4.54%,例次感染率分别为5.10%、5.17%、4.74%;下呼吸道是医院感染高发部位;抗菌药物使用率分别为54.67%、52.31%和49.07%,治疗性使用抗菌药物病原学送检率分别为42.30%、43.30%和43.70%。结论应继续加强重点部门、重点部位的目标监测与管理,加强抗菌药物的监控与管理,提高病原学送检率,正确、合理使用抗菌药物。
Objective To investigate the prevalence of nosocomial infections and antibacterials and provide basis for clinical use and prevention of nosocomial infections. Methods According to the “Diagnostic Criteria of Nosocomial Infections” issued by the Ministry of Public Health, a combination of bedside investigation and inpatient medical record was used to investigate the prevalence of nosocomial infections in all inpatients on the day of investigation. Results 942,929,970 inpatients were surveyed in 2009-2011. The actual investigation rates were 100.00%. The prevalence rates of nosocomial infections were 4.14%, 4.52% and 4.54% respectively. The infection rates were 5.10% and 5.17% , 4.74%, respectively. The lower respiratory tract was the high incidence of nosocomial infections. The antibacterials utilization rates were 54.67%, 52.31% and 49.07% respectively. The etiological rates of therapeutic antibiotics were 42.30%, 43.30% and 43.70% respectively. Conclusion We should continue to strengthen the monitoring and management of the targets in key departments and key areas, strengthen the monitoring and management of antimicrobial drugs, increase the rate of etiological examination, and correctly and rationally use antimicrobial drugs.