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目的了解淮安市第二人民医院医院感染及抗菌药物使用情况,以采取有效防控对策,提高医院感染的管理质量。方法采用床旁调查和查阅病历相结合,对全院所有住院患者进行1d的横断面调查。结果医院感染患病率6.72%,社区感染率为25.26%,共发生306例次,医院感染及社区感染的感染部位均以呼吸道感染为首。医院感染病原体以革兰阴性菌为主。抗菌药物使用率48.19%,治疗用药做微生物学监测送检率24.48%。结论加强感染源的控制和合理使用抗生素是降低医院感染的重要措施。
Objective To understand the nosocomial infection and the use of antibacterials in the Second People’s Hospital of Huaian City in order to take effective measures to prevent and control so as to improve the management quality of nosocomial infections. Methods The bedside survey and medical records were combined to survey all hospitalized patients in the hospital for 1 day. Results The prevalence of nosocomial infection was 6.72%. The community infection rate was 25.26%. There were 306 cases in total. Nosocomial infections and community-acquired infections were mainly caused by respiratory tract infections. The main pathogens of nosocomial infection are Gram-negative bacteria. Antibiotics use rate of 48.19%, therapeutic drug do microbiology monitoring delivery rate of 24.48%. Conclusion Strengthening the control of infection sources and rational use of antibiotics are important measures to reduce nosocomial infections.