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目的了解肿瘤专科医院患者医院感染发病情况,为改进和提高护理质量提供依据。方法采用横断面调查方法,对某医院某日所有住院患者医院感染情况进行调查。结果调查当日该医院共有住院患者504例,查出感染患者88例,医院感染现患率17.46%;包括院内获得感染患者24例,现患率4.76%;社区获得感染患者64例,现患率为12.70%。感染部位以呼吸道感染为主。感染患者病原学标本送检率为40.91%,检出病原菌中革兰阴性菌占61.90%。抗菌药物使用率为27.18%,以治疗性用药和一联用药为主。结论该肿瘤专科医院患者医院感染现患率在规定范围内,放化疗患者为重点防控对象。
Objective To understand the incidence of nosocomial infections in cancer specialist hospitals and provide evidence for improving and improving nursing quality. Methods A cross-sectional survey method was used to investigate the hospital infection of all hospitalized patients on a certain day in a hospital. Results There were 504 hospitalized patients in the hospital on the day of investigation, of which 88 cases were detected and the prevalence rate of hospital infection was 17.46%. Among them, 24 cases were infected in hospital, the prevalence was 4.76%; 64 cases were community acquired infection, the prevalence was 12.70% . Infections are mainly respiratory tract infections. Infected patients etiology specimens sent rate was 40.91%, detected pathogens Gram-negative bacteria accounted for 61.90%. Antibiotics use rate of 27.18%, mainly to the therapeutic drug and a combination of drugs. Conclusion The prevalence rate of nosocomial infections in the cancer hospital is within the prescribed range, and the patients receiving radiotherapy and chemotherapy are the key prevention and control targets.