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目的了解医院感染的现患率及其动态变化情况,为以后的医院感染预防控制工作提供指导和依据。方法采用病例调查结合床旁体检的方式于2013-11-20、2014-06-25及2015-07-28(0:00~24:00)调查湖北医药学院附属襄阳医院湖北医药学院附属襄阳医院所有的住院患者进行医院感染的现患率调查,并对结果进行录入分析。结果三次调查的平均医院感染现患率为2.75%,平均例次感染率为2.90%,医院感染现患率前5位的科室为ICU、神经外科、肿瘤科、神经内科和骨科。医院感染高发部位为下呼吸道、上呼吸道和泌尿系统。3年间共分离培养出病原菌128株,革兰阴性菌为主。抗菌药物的平均使用率为28.8%,呈轻微升高趋势。结论湖北医药学院附属襄阳医院湖北医药学院附属襄阳医院医院感染现患率及抗菌药物使用情况都符合要求,但是在重点科室及重点部位的医院感染防控还需加强。
Objective To understand the prevalence and dynamic changes of nosocomial infections and provide guidance and basis for future prevention and control of nosocomial infections. Methods A case-based survey combined with bedside examination was conducted at Xiangyang Hospital Affiliated to Hubei Medical College, Xiangyang Hospital Affiliated to Hubei Medical College of Medicine, 2013-11-20, 2014-06-25 and 2015-07-28 (0: 00-24: 00) All hospitalized patients were investigated for the prevalence of nosocomial infections and the results were analyzed. Results The average prevalence rate of nosocomial infection in three surveys was 2.75% and the average infection rate was 2.90%. The top 5 prevalence rates in hospital were ICU, neurosurgery, oncology, neurology and orthopedics. High incidence of nosocomial infections for the lower respiratory tract, upper respiratory tract and urinary system. Three years, a total of 128 pathogenic bacteria were isolated and cultured, mainly Gram-negative bacteria. The average usage rate of antibacterials was 28.8%, showing a slight upward trend. Conclusions Xiangyang Hospital Affiliated to Hubei Medical College Xiangyang Hospital Affiliated to Hubei Medical College The prevalence of infection and the use of antimicrobial drugs are satisfactory, but the prevention and control of nosocomial infections in key departments and key areas need to be strengthened.