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江苏卫生事业管理:2020,Vol.>>Issue(1):46-49
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不同调查方式的医院感染现患率分析
钟慧婷
(惠州市第一人民医院感染管理部)
Analysis of the prevalence rate of nosocomial infection in different investigation methods
Zhong Huiting
(Department of Infection Management,Huizhou First Hospital)
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中文摘要: 目的:通过分析2017、2018年医院感染信息,获取医院感染相关危险因素。方法:2017年的调查是通过查阅病历、床旁调查、填写调查表完成的。2018年采用院感杏林实时监控系统提取院感信息。结果:2017年发生医院感染37人,现患率5.38%,例次现患率为5.67%;2018年发生医院感染42人,现患率5.29%,例次现患率为5.29%。感染部位分布的前三位均是下呼吸道、皮肤软组织以及泌尿道。感染病原菌主要以铜绿假单胞菌、肺炎克雷伯氏菌、大肠埃希菌等革兰阴性菌为主。2017年、2018年调查日抗菌药物使用率为37.06%和35.89%。使用抗菌药物的目的均以治疗用药为主;抗菌药物联合使用则以单联用药为主。2018年、2017年治疗用药的病例中细菌培养送检率分别是67.70%和86.43%。结论:2017年、2018年医院感染现患率、实查率及调查日抗菌药物使用率均达到国家相关标准要求。但是送检率的下降,提示使用抗菌药物前细菌培养的送检意识薄弱是医院感染危险因素之一。
中文关键词: 医院感染  现患率  抗菌药物
Abstract:Objective:To obtain the risk factors related to nosocomial infection by analyzing the nosocomial information in 2017 and 2018. Methods:The information in 2017 was completed by consulting medical records,conducting bedside surveys and filling in the questionnaire. The information in 2018 was extracted by the real-time monitoring system of Xinlin. Results:In 2017,37 patients had nosocomial infections,with the prevalence rate of 5.38% and case occurrence rate of 5.67%. In 2018 there were 42 nosocomial infections with the prevalence rate of 5.29% and case occurrence rate of 5.29%. The top three sites with highest prevalence rate were lower respiratory tract,skin and soft tissue,and urinary tract. The main pathogenic bacteria were Pseudomonas aeruginosa,Klebsiella pneumoniae,Escherichia coli and other gram-negative bacteria. The daily utilization rate of antibiotics was 37.06% in 2017 and 35.89% in 2018. The main purpose of using antibiotics agents was therapeutic. In 2018 and 2017,67.70% and 86.43% of the cases of treatment drugs were sent to the laboratory for bacterial culture. Conclusion:In 2017 and 2018,the prevalence rate of nosocomial infections,the detection rate and the rate of antibiotics use on investigation days all met the relevant national standards. However,the decrease in the rate of examination suggests that the weak consciousness of examination before the use of antibiotics is one of the risk factors for nosocomial infection.
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引用文本:
钟慧婷.不同调查方式的医院感染现患率分析[J].江苏卫生事业管理,2020,31(1):46-49.
Zhong Huiting.Analysis of the prevalence rate of nosocomial infection in different investigation methods[J].Jiangsu Health System Management,2020,31(1):46-49.

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