医院感染横断面调查分析

目的了解医院感染现状。方法采用横断面调查的方法 ,对2010年4月12日住院患者进行医院感染现患率调查。结果调查当日住院患者463例,医院感染现患率为2.38%,例次现患率2.81%;下呼吸道(53.85%)为最常见的感染部位;抗菌药物使用率61.77%,预防用药的比例为27.97%,治疗用药比例为72.03%;抗菌药物一联用药比例占78.67%,二联用药占17.48%,无三联及以上用药。预防用药以三代头孢菌素为主(44.25%),细菌培养标本送检率17.48%。结论医院感染横断面调查,能够为有效开展医院感染目标性监测提供依据。

Cross-sectional analysis on the current situation of nosocomial infection in hospital

OBJECTIVE To know the current situation of nosocomial infection.METHODS The prevalence of nosocomial infection in patients,who were hospitalized on the 12th April,2010,was investigated through the method of cross-sectional study.RESULTS The sample consisted of 463 inpatients and the prevalence of hospital infection was 2.38%,while the total hospital infection frequency rate was 2.81%.The lower respiratory tract(53.85%)was the most common site of hospital infection.The utilization rate of antibacterial agent was 61.77%,among which the proportion of preventive medication was 27.97%,therapeutic medication 72.03%;the proportion of monotherapy was 78.67%,while the proportion of combined utilization of two antibacterial agents was 17.48%.There was no jointed use of three or even more antibacterial agents in the investigation.The third generation of cephalosporin(44.25%)was used most among preventive medication.The detection rate of germiculture sample was 17.48%.CONCLUSION The cross-sectional study for hospital acquired infection will provide practical bases for effective surveillance aimed at hospital infection.