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目的了解医院感染现患率,分析主要影响因素,找到预防和控制感染有效方法。方法采用床旁调查和病历调查相结合,统计分析调查及处于医院感染状态的病例。结果实查住院患者638例,实查率99.5%,医院感染现患率3.9%,例次现患率4.9%;手术切口是医院感染的主要部位;营养不良和低蛋白血症是医院感染的主要危险因素,抗菌药物使用率为40.6%,预防性用药为53.3%。结论该次医院感染现患率调查人员经严格培训,结果较为可靠;需加强对手术切口管理、空气消毒,控制陪护和日常高危因素监测,提高病原学送检率,提高抗菌药物合理使用率,控制医院感染发生。
Objective To understand the prevalence of nosocomial infections, analyze the main influencing factors and find effective ways to prevent and control infections. Methods The combination of bedside survey and medical records was used to investigate the cases of hospital infection. Results The number of hospitalized patients was 638, the actual examination rate was 99.5%, the prevalence rate of nosocomial infection was 3.9%, and the prevalence rate was 4.9%. The surgical incision was the main site of nosocomial infection. Malnutrition and hypoalbuminemia were the main risk of nosocomial infection Factors, antibacterial drug use was 40.6%, preventive medication was 53.3%. CONCLUSIONS: The current prevalence rate of infection in hospital was rigorously trained and the results were reliable. Surgical incision management, air disinfection, control accompanying care and daily risk factors monitoring should be strengthened to increase the rate of etiological examination, to improve the rational use of antimicrobial agents and to control Hospital infection occurs.