3061例住院患者医院感染现患率调查和分析.docVIP

3061例住院患者医院感染现患率调查和分析 　　【摘要】 目的：了解和掌握住院患者医院感染现状和抗菌药物使用的相关情况，为提高医院感染管理水平提供依据。方法：采用个案调查和床旁调查相结合的方法，对2016年9月28日的所有住院患者开展医院感染现患率调查。结果：医院感染现患率调查实查率为99.8%，医院感染的现患率为2.16%，例次感染率为2.22%；抗菌药物的使用率为41.5%，其中使用抗菌药物中治疗用药964例，占75.8%，治疗性用药前病原学送检率为68.7%；检出病原菌以革兰阴性菌为主占89.2%，检出株数前3位依次是大肠埃希菌、鲍曼不动杆菌、铜绿假单胞菌，多重耐药检出率前3位的是鲍曼不动杆菌、屎肠球菌、大肠埃希菌。结论：现患率调查的各项指标均在监测目标范围内，客观的反映了医院感染及抗菌药物使用的现状，为下一步的医院感染预防控制工作提供依据。 　　【关键词】 医院感染； 现患率； 调查与分析 　　【Abstract】 Objective：To understand and master the status of nosocomial infection in hospitalized patients and the related situation of antimicrobial use，so as to provide basis for improving the management level of hospital infection.Method：The cross sectional survey and bedside examination were used，all patients survey in September 28，2016 to carry out investigation of the prevalence of nosocomial infections.Result：The real rate of nosocomial infection was 99.8%，the prevalence rate of hospital infection was 2.16%，the infection rate was 2.22%；the rate of antibiotic using was 41.5%，there were 964 cases using antibiotic drugs during the treatment，which was accounting for 75.8%；the medication before the pathogenic detection rate was 68.7%； according to the pathogenic detection，the major bacteria were Gram-negative bacteria，accounting for 89.2%，followed by Escherichia coli，Bauman Acinetobacter，Pseudomonas aeruginosa.The top 3 rates of multidrug resistance were Bauman Acinetobacter，Enterococcus faecium，and Escherichia coli.Conclusion：The prevalence rate of the survey indicators followed the target range，which suggested the hospital infection and the use of antimicrobial agents in the current situation and helps to make the plan for the next step of hospital infection prevention and control. 　　【Key words】 Nosocomial infections； Prevalence rate； Investigation and analysis 　　First-author’s address：School of Medicine and Life Science，Ji’nan University and Shandong Academy of Medical Science，Ji’nan 250062，China 　　doi：10.3969/j.issn.1674-4985.2017.28.018 　　?t院感染现患率调查是指在特