2006-2010年我院医院感染现患率调查分析

目的了解和掌握南昌大学第一附属医院医院感染的现状,更好地预防与控制医院感染。方法按全国医院感染监控网的要求,采用床旁调查和查阅病历相结合的方法,调查2006-2010年每年的5月份第3周的周四0-24时内住院病人的医院感染情况,包括当日出院转科和死亡病例,不包括当日新住院病人,并对5年的调查结果进行比较、分析。结果 5次调查9 153例次,感染456例次,平均现患率为4.98%;平均现患率排在前5位科室依次为ICU（42.65%）、血液科（21.12%）、新生儿科（14.29%）、干部病房（13.41%）、儿科（12.37%）;感染部位排在前3位的依次为呼吸系统、泌尿生殖道、手术部位;5年平均抗生素使用率为51.22%。结论加强重点科室医院感染管理/规范使用抗生素是降低医院感染现患率的关键。

Nosocomial Infection Prevalence,2006-2010

Objective To realize and predominate the actuality of nosocomial infection and control nosocomial infection in the Fist Affiliated Hospital of Nanchang University.Methods According to the request of countrywide nosocomial infection net,using the methods of clinic investigation and case history investigation,the situation of nosocomial infection,including died patients and patients discharged from hospital and transferred to other departments on that day,was investigated every third Thursday in May 2006-2010.Five-year results were compared and analyzed.Results A total of 9 153 episodes were investigated,including 456 infection episodes.The average prevalence of nosocomial infection was 4.98%.The top 5 departments which had higher prevalence of nosocomial infection were ICU（42.65%）,hematology ward（21.12%）,neonatal unit（14.29%）,cadre ward（13.41%） and pediatrics ward（12.37%）.The top 3 infection sites were respiratory system,genitourinary system and surgical sites.The 5-year average rate of antibiotic use was 51.22%.Conclusion The enhancement of nosocomial infection management of key departments and the regulation of antibiotic use are the key to reducing the prevalence of nosocomial infection.