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目的:连续调查某院儿科2008~2012年医院感染患病及抗菌药物使用情况。方法:按照统一调查方法、使用卫生部医院感染诊断标准对该院儿科患者进行时点患病率及抗菌药物使用情况进行调查。结果:连续5年医院感染患病率保持稳定水平并有下降趋势,抗菌药物使用率逐年下降。在实查的1 005例患儿中,33例发生35例次医院感染,现患率和例次现患率分别为3.28%和3.48%;感染部位以上呼吸道、胃肠道和下呼吸道最常见;医院感染病原微生物中以G-杆菌为主,而最常分离的医院感染致病微生物为大肠埃希氏杆菌;在调查日68.76%的患儿使用抗菌药物,青霉素类和头孢菌素类药物是最常用的抗菌药物。结论:该院儿科医院感染保持稳定并有下降趋势,医院感染管理有效。
Objective: To continuously investigate the prevalence of nosocomial infections and the use of antibacterials in a hospital from 2008 to 2012. Methods: In accordance with the unified survey method, the Ministry of Health hospital nosocomial infection diagnostic criteria for pediatric patients in the hospital at the prevalence and antimicrobial drug use were investigated. Results: The prevalence of nosocomial infections remained steady for 5 consecutive years with a downward trend, and the rate of antimicrobial use decreased year by year. Among the 1 005 children surveyed, 35 cases were hospitalized in 33 cases, and the prevalence rate and prevalence rate were 3.28% and 3.48% respectively. The most common respiratory tract, gastrointestinal tract and lower respiratory tract were found in the infected area. The hospital Infection with pathogenic microorganisms to G-bacteria, and the most common hospital-acquired pathogenic microorganisms Escherichia coli; 68.76% of children surveyed on the use of antibiotics, penicillins and cephalosporins drugs is the most Common antibacterial drugs. Conclusion: The hospital pediatric hospital infection remained stable and declining, hospital infection management effective.