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目的了解医院感染现患率及危险因素,及时调整医院感染预防控制措施。方法医院感染管理专职人员与临床医师共同调查2010年12月15日0:00～24:00所有住院患者,查阅病历和床旁调查相结合,填写统一的现患率调查个案登记表和床旁调查表,对调查结果进行统计分析。结果医院感染现患率2.49%;科室主要分布在综合重症监护病房(ICU)和内三科(肿瘤和内分泌专业);部位主要分布在下呼吸道、泌尿道、血液;导管相关感染有增加趋势,不合理使用抗菌药物问题较突出。结论综合ICU和内三科是新津县人民医院的重点科室;下呼吸道、泌尿道、中心静脉置管部位是重点部位;侵袭类操作及不合理使用抗菌药物是危险因素;该院医院感染预防控制工作重点:加强导管相关感染监测,增加耐药菌监测,加强对综合ICU、内三科的管理,加强对侵袭性操作及合理使用抗菌药物的管理,提高病原学送检率。
Objective To understand the prevalence and risk factors of nosocomial infection and to timely adjust the prevention and control measures of nosocomial infection. Methods A total of hospital infection management staff and clinicians were investigated on December 15, 2010 at 0: 00 ~ 24: 00 All inpatients, medical records and bedside survey combined to fill in a unified case record of prevalence rate survey and bedside survey Table, the statistical analysis of the survey results. Results The prevalence rate of nosocomial infection was 2.49%. The departments were mainly distributed in intensive care unit (ICU) and internal medicine department (major in oncology and endocrinology). The sites were mainly located in the lower respiratory tract, urinary tract and blood. The incidence of catheter-related infections was increasing unreasonably The use of antimicrobial drugs more prominent problem. Conclusion The ICU and Nei San Branch are the key departments of Xinjin County People’s Hospital. The lower respiratory tract, urinary tract and central venous catheter are the key sites. Invasive operation and irrational use of antimicrobial agents are risk factors. The prevention and control of nosocomial infection Work focus: To strengthen the monitoring of catheter-related infections, increase the monitoring of drug-resistant bacteria, strengthen the integrated ICU, three subjects within the management, to strengthen the invasive operation and rational use of antimicrobial drugs, improve the rate of etiology.