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目的对医院感染发生率、抗菌药物使用及病原菌的送检情况进行比较,为提高和改进医院感染管理水平提供科学依据。方法调查前1周对各科室感染管理联络员进行培训,完善病历及病原学检查,以床旁调查与病例调查相结合的方法,填写统一调查表。结果应调查住院患者974例,实查973例,实查率为99.9%;发生医院感染74例,感染现患率为7.6%,社区感染88例,感染率为9.0%;接受抗菌药物治疗的患者微生物检验送检率为30.7%,住院患者抗菌药物使用率为54.9%,Ⅰ类切口手术患者预防使用抗菌药物比例47.2%。结论通过医院感染现患率调查,加强对重点科室医院感染的监督和管理,提高患者微生物标本的送检率,促进抗菌药物临床合理应用能力和管理水平。
Objective To compare the incidence of nosocomial infections, the use of antibacterials and the status of pathogenic bacteria, and provide a scientific basis for improving and improving the management of nosocomial infections. Methods One week before the survey, all department infection management liaison officers were trained to improve the medical record and etiology examination. The method of combination of bedside investigation and case investigation was used to fill in the unified questionnaire. Results 974 hospitalized patients were investigated, 973 cases were investigated, the actual examination rate was 99.9%, 74 cases were hospitalized, the prevalence rate was 7.6%, community infection was 88 and the infection rate was 9.0%. Patients receiving antimicrobial therapy The rate of microbiological examination was 30.7%, the rate of antibiotic use in hospitalized patients was 54.9%, and the proportion of antibacterials used in prevention of type Ⅰ incision was 47.2%. Conclusion Through the investigation of prevalence rate of nosocomial infection, the supervision and management of nosocomial infections in key departments and departments are strengthened, the delivery rate of patients with microbiological specimens is increased, and the clinical application and management of antimicrobial agents are promoted.