论文部分内容阅读
目的了解某省不同规模医院的医院感染现状及抗菌药物使用情况。方法对2015年某省166所不同规模综合医院的医院感染管理监控指标进行调查,统计不同规模综合医院的医院感染发病率、Ⅰ类切口手术部位感染率、医务人员手卫生依从率、抗菌药物治疗前病原学标本送检率、多药耐药菌感染检出率、住院患者抗菌药物使用率和Ⅰ类切口手术抗菌药物预防使用率,对比分析不同规模综合医院的各项院感监测指标的差异。结果共调查住院患者4382871例,医院感染新发病例数为82681例,医院感染发病率为1.9%,Ⅰ类切口手术部位感染率为0.3%,医务人员手卫生依从率为67.9%,抗菌药物治疗前病原学标本送检率为50.5%,多药耐药菌感染检出率为21.4%,住院患者抗菌药物使用率52.7%,Ⅰ类切口手术抗菌药物预防使用率为33.2%;不同规模综合医院的各项院感监测指标差异均有统计学意义(P<0.05)。结论不同规模综合医院的各项院感监测指标存在差异;需进一步规范小规模医院感染管理工作;Ⅰ类切口手术抗菌药物预防使用率偏高,需对抗菌药物合理使用加强管理。
Objective To understand the status of nosocomial infections and the use of antibacterials in hospitals of different sizes in a province. Methods Surveillance indicators of nosocomial infection in 166 general hospitals in a certain province in 2015 were investigated. The incidences of nosocomial infections, the prevalence of nosocomial infections in different general hospitals, the prevalence of surgical incisions in type Ⅰ incisions, the compliance rate of hand hygiene in medical staff and the antibacterial drugs The rate of detection of pre-etiological specimens, the detection rate of multidrug-resistant bacterial infections, the usage of antimicrobial agents in hospitalized patients and the preventive use of anti-bacterial drugs of type Ⅰ incision surgeries were compared and analyzed, . Results A total of 4382871 hospitalized patients were investigated. The number of new cases of hospital infection was 82,681, the incidence of nosocomial infection was 1.9%, the infection rate of type Ⅰ incision site was 0.3% and that of medical staff was 67.9%. Antibacterial drug treatment The rate of preemptomatic specimens was 50.5%, that of multi-drug resistant bacteria was 21.4%, that of inpatients was 52.7%, that of type Ⅰ incision was 33.2%, and that of hospitals of different scales The differences of the monitoring indexes between the two groups were statistically significant (P <0.05). Conclusion There are differences in various indicators of nosocomial monitoring in general hospitals of different sizes; it is necessary to further standardize the management of small-scale nosocomial infections; and the prevention and cure rate of class I incision surgeries is high, and the rational use of antimicrobial agents needs to be strengthened to strengthen management.