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目的了解医院感染月漏报率情况,科学调整医院感染监测方案。适时调整监测方法、更改不实之处,提高监测质量。方法采取前瞻性与回顾性调查相结合的方法,对该院2011年7月31日留院病人、8月1日至8月31日住院病人运行病历与档案病历开展调查,对所有感染病例进行登记,然后将登记的病例与调查月上报的病例进行核对。结果调查的1 624份病例中,发现漏报病例10例,本月医院感染已报病例50例,其中错报2例,漏报率为17.24%。结论医院感染漏报率较高,医务人员对医院感染诊断标准掌握不够、预防医院感染意识不强、专职人员监测不规范是主要原因。
Objective To understand the monthly rate of reported hospital infection, and to adjust the scientific monitoring plan of nosocomial infection. Adjust the monitoring methods timely, change the inaccuracies and improve the quality of monitoring. Methods A prospective and retrospective study was conducted to investigate the medical records and archival records of patients hospitalized on July 31, 2011 and hospitalized patients from August 1 to August 31, 2011. All cases of infection were investigated Register, and then check the cases registered with the investigation month reported cases. Results Among the 1 624 cases surveyed, 10 cases were misdiagnosed and 50 cases were reported as hospital infection in this month. Among them, 2 cases were misstated and the false negative rate was 17.24%. Conclusion The rate of omission of nosocomial infection is high. The medical staff have not mastered the diagnostic criteria of nosocomial infection. The prevention of nosocomial infection is not strong and the non-standard monitoring of full-time staff is the main reason.