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目的了解住院患者医院感染发生情况,为进一步做好医院感染控制工作提供依据。方法采用横断面调查方法,对某医院连续3年住院患者医院感染现患率进行调查。结果该医院分别在2013-2015年连续3年均在7、8月份进行医院感染现患率调查,实查率均在96.00%以上,医院感染现患率依次为1.46%、0.97%和1.20%。连续3年调查患者医院感染部位均以下呼吸道为首位,其次是上呼吸道和泌尿系。住院患者抗菌药物使用率均低于50.00%,且一联用药比例均超过76.00%;治疗性用药患者病原学标本送检率为23.30%~41.88%,呈上升趋势。结论该医院住院患者医院感染现患率较低,抗菌药物使用比较合理,但病原学标本送检率偏低。
Objective To understand the occurrence of nosocomial infection in hospitalized patients and provide evidence for further nosocomial infection control. Methods A cross-sectional survey method was used to investigate the prevalence of nosocomial infections in a hospital for three consecutive years. Results The hospital was investigated for prevalence of nosocomial infections in July and August for three consecutive years from 2013 to 2015. The actual rates were all above 96.00%. The prevalence rates of nosocomial infections were 1.46%, 0.97% and 1.20% respectively. For the third consecutive year, the following respiratory tract was the most common area of nosocomial infections in the patients, followed by the upper respiratory tract and urinary tract. Inpatients were less than 50.00% antibacterial drug use rates, and a combination of drugs were more than 76.00%; therapeutic drug patients etiological specimens sentinelity was 23.30% ~ 41.88%, an upward trend. Conclusions The prevalence of nosocomial infection in hospital is low, the use of antibacterials is reasonable, but the rate of etiological specimens is low.