我院医院感染现患率调查研究.docVIP

我院医院感染现患率调查研究[摘要]目的了解医院感染现患率,发现医院感染管理中存在的问题和医院感染发生的特点,为提高医院感染管理水平提供科学依据。方法统一培训调查人员,床旁询问病史、体格检查与在架病历调查相结合,填写统一的个案调查表。对调查日处于医院感染状态的病例进行统计分析。结果应查人数894人,实查893人,实查率99.89%。发生医院感33例,医院感染现患率为3.69%,高于日常连续性调查结果。医院感染部位以下呼吸道居首位;抗菌药物当天使用率为41.10%。结论医院感染现患率调查有利于发现医院感染管理工作中存在的问题,为制定医院感染监控措施提供可靠依据。 [关键词] 医院感染; 现患率; 抗菌药物; 数据收集 [中图分类号] R195[文献标识码]A [文章编号] 1005-0515(2010)-9-210-02 Surveillance of the point prevalence rate of nosocomial infection in a hospital LIAN Gui-zhen,ZHANG Li-li,RUAN Mei-li,HUANG Hai-wang (The Second Hospital of Xia men,Fujian 361021,China) [Abstract]ObjectiveTo investigate the point prevalence rate of nosocomial infection and discover the problems in the management of nosocomial infection in a hospital ,and to provide scientific data for surveillance of nosocomial infection.Methods A team of surveyors were trained to inquire history of illness,do physical examination for inpatients and collect some necessary data from medical records on a single day.Questionnaires about nosocomial infection cases were filled out and analysed.ResultsEight hundred and ninty-three of 894 (99.89%) patients were investigated, 33 patients developed nosocomial infection, the point prevalence rate nosocomial infection were 3.69%,respectively,which were higher than that of the consecutive survey.The main infectious site was lower respiratory tract;the application rate of antibiotics was 41.10% at the day of investigation.ConclusionThe survey on the prevalence rate of nosocomial infection is beneficial to the discovery of some problems in nosocomial infection management, and can provide guidance for the prevention and control of nosocomial infection. [Keywords]Nosocomial infection; Prevalence rate; Antibioics; Data collection 随着医院质量管理越来越系统化、正规化,医院感染管理作为医院质量管理体系的重要组成部分越来越受到重视。而医院感染的发生,增加了社会的负担,给患者带来身体、精神痛苦和经济损失,降低医院的病床周转率和社会声誉[1]。为了解我院患者医院感染的实际性发病情况,增强医务人员医院感染控制意识,为制定医院感染监控措施提供可靠依据。我院于2009年10月21日采用普查方法(即对调查范围内的全部观察对象进行调查)对所有住院患者进行了医院感染现患率调查,现将调查结果总结如下。 1资料与方法