2013-2015年某基层医院医院感染现患率调查

Prevalence rate of nosocomial infection in a grass-root hospital from 2013 to 2015

  • 摘要: 目的 了解医院感染和抗菌药物使用情况,为预防医院感染和提高医院感染管理提供科学依据。方法 采用床旁调查与病历调查相结合的方法,分别于2013年10月15日、2014年10月16日、2015年11月4日0∶00-24∶00对医院感染现患率情况进行调查; 所有数据采用SPSS13.0软件进行统计分析。结果 连续3年调查的住院患者分别为923、997、1 014例,医院感染率依次为3.3%、2.9%、2.6%; 医院感染主要集中在中老年人群; 感染部位以呼吸系统为主,尤其是下呼吸道感染,连续三年下呼吸道感染构成比分别为56.7%、65.5%和57.7%; 医院抗菌药物的使用率控制在40.0%以下,但标本送检率很低。结论 医院感染率低于全国三甲医院医院感染现患率水平,抗菌药物的使用情况也达到一定标准,但标本送检率仍较低。

     

    Abstract: OBJECTIVE To understand the prevalence of nosocomial infections and status of use of antibiotics so as to provide scientific basis for prevention of nosocomial infections and improvement of management of nosocomial infections.METHODS By means of bedside investigation combined with medical records survey, the prevalence rates of nosocomial infections from 0∶00 to 24∶00 on Oct 15, 2013, Oct 16, 2014, and Nov 4, 2015 were investigated, and all of the data were statistically analyzed by using SPSS13.0 software.RESULTS Totally 923, 997, and 1 014 hospitalized patients were investigated in the 3 consecutive years respectively; the prevalence rates of nosocomial infections were 3.3%, 2.9%, and 2.6%, respectively.The middle-age and elderly people were the major population with the nosocomial infections. The respiratory system was dominant among the infection sites, especially the lower respiratory tract; the constituent ratios of the patients with lower respiratory tract infections were respectively 56.7%, 65.5%, and 57.7% in the three consecutive years.The utilization rate of antibiotics was controlled under 40.0%, however, the submission rate of specimens was very low.CONCLUSIONThe prevalence rate of nosocomial infections is lower in the hospital than in the three-A hospitals in China, the use of antibiotics has met certain standards, however, the submission rate of specimens remains low.

     

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