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目的为了解医院感染基本情况,进一步制定医院感染的监控措施,有效开展目标性监测提供依据。方法于2010年10月28日对全院所有住院患者进行了1d的医院感染情况调查。结果被调查的486例患者中发现医院感染7例,医院感染现患率为1.44%。外二科感染率最高(5.88%),其次为骨二科(3.85%),再次为肿瘤科(3.13%);感染部位:上呼吸道及切口感染各3例,皮肤软组织感染1例。住院患者抗菌药物使用222例,使用率为45.68%,其中治疗用药135例,预防用药66例,治疗+预防21例;单一使用149例,二联使用71例,三联使用2例;抗菌药物使用种类以第三代头孢菌素及第四代头孢菌素为最高,占67.56%。结论应加强重点科室的管理,加强抗菌药物使用的管理,以控制、减少医院感染的发生。
Objective To understand the basic situation of nosocomial infection, to further develop the monitoring measures of nosocomial infection, to provide the basis for effective target monitoring. Methods On October 28, 2010, all hospitalized patients in the hospital were surveyed for hospital infection for 1 day. Results Among the 486 patients surveyed, 7 were found to have nosocomial infection and 1.44% to nosocomial infection. The highest infection rates were in the second and fifth trimester (5.88%), followed by the second and third trimester (3.85% and 3.13% respectively). Infected sites were upper respiratory tract and incision infection in 3 cases and skin and soft tissue infection in 1 case. Inpatient antibiotics use 222 cases, the use rate was 45.68%, of which 135 cases of treatment, prevention of 66 cases, 21 cases of treatment + prevention; single use of 149 cases, 71 cases of dual use, triple use of 2 cases; antibacterial use The third generation cephalosporins and the fourth generation cephalosporins highest, accounting for 67.56%. Conclusion The management of key departments and departments should be strengthened and the use of antimicrobial agents should be strengthened to control and reduce the occurrence of nosocomial infections.