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目的调查湖北省内6所教学医院医院感染患病水平即抗菌药物使用情况。方法按照统一调查方法、使用卫生部医院感染诊断标准对湖北省内6所教学医院进行时点患病率调查。结果在7745例患者中309例发生331例次医院感染,现患率和例次现患率分别为3.99%和4.27%;ICU、血液内科和呼吸内科是感染率最高的科室;下呼吸道、上呼吸道和泌尿道是最常见感染部位;医院感染病原菌中以革兰阴性杆菌为主,而最常分离的细菌依次是铜绿假单胞菌,其次是大肠埃希菌、鲍氏不动杆菌和金黄色葡萄球菌;有50.08%使用抗菌药物,头孢菌素、青霉素和喹诺酮类是最常用的抗菌药物。结论湖北省6所教学医院医院感染处于中等水平,需要进一步加强医院感染监测和控制工作。
Objective To investigate the prevalence of nosocomial infections in 6 teaching hospitals in Hubei province, ie, the use of antimicrobial agents. Methods According to the method of unified investigation, the prevalence of nosocomial infection in 6 teaching hospitals in Hubei province was investigated using the diagnostic criteria of nosocomial infection of Ministry of Health. Results Among the 7745 patients, 331 cases were hospitalized in 331 cases, the prevalence rate was 3.99% and the prevalence rate was 4.27% respectively. ICU, Department of Hematology and Respiratory Medicine were the highest infection rates. Lower respiratory tract, upper respiratory tract and Urinary tract is the most common site of infection; Gram-negative bacilli are the main pathogens of nosocomial infection, while the most commonly isolated bacteria are Pseudomonas aeruginosa, followed by Escherichia coli, Acinetobacter baumannii and golden yellow grape Cocci; 50.08% of the use of antibacterial drugs, cephalosporins, penicillins and quinolones are the most commonly used antibacterial drugs. Conclusion The hospital infection in six teaching hospitals in Hubei Province is at a medium level, and it is necessary to further strengthen the monitoring and control of nosocomial infections.