[1]张 楠,白昊坤,赵 怀,等.某综合医院住院患者医院感染现患率调查[J].医学信息,2019,32(17):126-128.[doi:10.3969/j.issn.1006-1959.2019.17.041]
　ZHANG Nan,BAI Hao-kun,ZHAO Huai,et al.Investigation on the Prevalence of Nosocomial Infection in Hospitalized Patients in A General Hospital[J].Journal of Medical Information,2019,32(17):126-128.[doi:10.3969/j.issn.1006-1959.2019.17.041]
点击复制

某综合医院住院患者医院感染现患率调查()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年17期
页码:
126-128
栏目:
调查分析
出版日期:
2019-09-01

文章信息/Info

Title:
Investigation on the Prevalence of Nosocomial Infection in Hospitalized Patients in A General Hospital
文章编号:
1006-1959（2019）17-0126-03
作者:
张 楠1; 白昊坤1; 赵 怀1; 王金贤2
1.首都医科大学，北京 100043；2.首都医科大学石景山教学医院院感科，北京 100043
Author(s):
ZHANG Nan1; BAI Hao-kun1; ZHAO Huai1; WANG Jin-xian2
1.Capital Medical University,Beijing 100043,China; 2.Department of Sensory,Shijingshan Teaching Hospital,Capital Medical University,Beijing 100043,China
关键词:
医院感染; 现患率; 危险因素; 病原菌
Keywords:
Key words：Nosocomial infection; Prevalence rate; Risk factors; Pathogen
分类号:
R181.3
DOI:
10.3969/j.issn.1006-1959.2019.17.041
文献标志码:
A
摘要:
目的 了解医院感染现状，分析相关危险因素，为医院感染的预防提供依据。方法 采用病历调查和床旁调查相结合的方法，调查2018年5月24日0∶00~24∶00某院所有住院患者的医院感染现状，描述医院感染分布情况，病原菌检出情况以及抗生素使用情况，并进行医院感染患者的危险因素分析。结果 某院住院患者719例，实查率100.00%，医院感染现患率为2.50%，其中重症医学科（ICU）、神经外科现患率较高，分别为16.67%、13.33%，主要为下呼吸道感染，占55.56%。检出病原体13株，G-菌最高（61.54%），其次为真菌（38.46%）。全院抗菌药物使用率为33.94%，治疗用药占79.10%；单一用药占90.57%，用药标本送检率为51.55%。年龄（＜2岁或＞60岁）、使用呼吸机、使用泌尿道插管、动静脉插管，差异均有统计学意义（P＜0.05），是医院感染的危险因素。结论 年龄（＜2岁或＞60岁）、使用呼吸机、动静脉插管、泌尿道插管是医院感染的危险因素，应重点加强对长期住院患者的管理，加强导管相关感染的防控工作，加强重点环节、危险因素的监管防控力度，确保导管相关感染集束式防控措施的落实，医务人员加强手卫生、合理使用抗菌药物、严格无菌操作技术规程。
Abstract:
Abstract：Objective Understand the status of nosocomial infections, analyze relevant risk factors, and provide evidence for prevention of nosocomial infections. Methods The medical records and bedside survey were combined to investigate the status of nosocomial infection in hospitals from 0:00 to 24:00 in 24 May 2018, describing the distribution of nosocomial infections, pathogen detection rate and antibiotic use. And conduct risk factor analysis of patients with nosocomial infections. Results There were 719 inpatients in a hospital, the actual investigation rate was 100.00%, and the prevalence rate of nosocomial infection was 2.50%. Among them, the prevalence rate of severe medicine (ICU) and neurosurgery was 16.67% and 13.33%, respectively, mainly for lower respiratory tract infection. , accounting for 55.56%. 13 strains of pathogens were detected, the highest G- bacteria (61.54%), followed by fungi (38.46%). The use rate of antibacterial drugs in the hospital was 33.94%, and the therapeutic drugs accounted for 79.10%; the single drugs accounted for 90.57%, and the drug samples were 51.55%. Age (<2 years old or >60 years old), use of ventilator, use of urinary catheterization, arteriovenous intubation, the difference was statistically significant (P<0.05), is a risk factor for nosocomial infection. Conclusion Age (<2 years old or >60 years old), use of ventilator, arteriovenous intubation, and urinary catheterization are risk factors for nosocomial infection. It is important to strengthen the management of long-term hospitalized patients and strengthen the prevention and control of catheter-related infections. Strengthen the supervision and prevention of key links and risk factors, ensure the implementation of cluster-related infection prevention and control measures, and strengthen the hand hygiene, rational use of antibacterial drugs, and strict aseptic operation technical regulations.

参考文献/References:

[1]谭军,王剑云,袁艳玲,等.医院感染现患率调查研究进展[J].中国医药指南,2018,16(1):29. [2]王亚莉,程艳博,赵真,等.三级综合医院医院感染现患率调查分析[J].中华医院感染学杂志,2015,25(3):592-594. [3]陶敏,杨秀敏,邢小明.住院患者医院感染现患率调查[J].中华医院感染学杂志,2015,25(2):363-365. [4]任南,文细毛,吴安华,等.2014年全国医院感染横断面调查报告[J].中国感染控制杂志,2016,15(2):83-87. [5]高存亮.住院患者医院医院感染率调查分析[J].临床医学研究与实践,2017,2(30):112-114. [6]刘海霞,李毓琴,黄晓芬等.某三甲医院2015-2016年医院感染病原菌分布及耐药性分析[J].实用预防医学,2018,25(11):1391-1393. [7]王琦,胡琳,张鸿,等.2017年某三甲医院住医院患者医院感染现患率调查分析[J].中国卫生检验杂志,2019,29(3):374-376. [8]李倩,平宝华,李宝珍.2013年医院感染现患率调查及危险因素分析[J].中国感染控制杂志,2014,13(8):467-471. [9]傅晓,林彩萍.医院感染横断面调查结果分析[J].世界最新医学信息文摘,2017,17(65):166-167.

相似文献/References:

[1]周 刚.右美托咪定改善全麻苏醒期患者血液动力学及 医院感染的疗效观察[J].医学信息,2018,31(12):128.[doi:10.3969/j.issn.1006-1959.2018.12.039]
　ZHOU Gang.Effect of Dexmedetomidine on Improving Hemodynamics and Nosocomial Infection in Patients with General Anesthesia[J].Journal of Medical Information,2018,31(17):128.[doi:10.3969/j.issn.1006-1959.2018.12.039]
[2]章 琦,郑雪梅,李宝珍,等.医务人员医院感染防控知信行现状及其培训需求调查分析[J].医学信息,2022,35(13):168.[doi:10.3969/j.issn.1006-1959.2022.13.042]
　ZHANG Qi,ZHENG Xue-mei,LI Bao-zhen,et al.Investigation and Analysis on KAP Status and Training Needs of Hospital Infection Prevention and Control Among Medical Staff[J].Journal of Medical Information,2022,35(17):168.[doi:10.3969/j.issn.1006-1959.2022.13.042]
[3]周 蓉.神经外科颅脑手术患者医院感染危险因素分析[J].医学信息,2019,32(07):104.[doi:10.3969/j.issn.1006-1959.2019.07.030]
　ZHOU Rong.Analysis of Risk Factors for Nosocomial Infection in Patients with Neurosurgical Brain Surgery[J].Journal of Medical Information,2019,32(17):104.[doi:10.3969/j.issn.1006-1959.2019.07.030]
[4]刘文军,张东湖,黄 锋,等.基于CDR的医院感染闭环管理应用[J].医学信息,2019,32(08):17.[doi:10.3969/j.issn.1006-1959.2019.08.005]
　LIU Wen-jun,ZHANG Dong-hu,HUANG Feng,et al.CDR-based Hospital Infection Closed-loop Management Application[J].Journal of Medical Information,2019,32(17):17.[doi:10.3969/j.issn.1006-1959.2019.08.005]
[5]顾万娟,李 亮,张 振,等.多重耐药菌的临床分布与耐药性分析[J].医学信息,2019,32(15):116.[doi:10.3969/j.issn.1006-1959.2019.15.038]
　GU Wan-juan,LI Liang,ZHANG Zhen,et al.Analysis of Clinical Distribution and Drug Resistance of Multi-drug Resistant Bacteria[J].Journal of Medical Information,2019,32(17):116.[doi:10.3969/j.issn.1006-1959.2019.15.038]
[6]吴毅萍,余 虹,沈菊艳.精细护理路径管理在消化内镜室医院感染控制中的应用效果[J].医学信息,2022,35(14):184.[doi:10.3969/j.issn.1006-1959.2022.14.048]
　WU Yi-ping,YU Hong,SHEN Ju-yan.Application Effect of Refined Nursing Pathway Management in Nosocomial Infection Control in Digestive Endoscopy Room[J].Journal of Medical Information,2022,35(17):184.[doi:10.3969/j.issn.1006-1959.2022.14.048]
[7]杨 萍,袁华兵.三级综合医院多重耐药菌特点及直接经济负担分析[J].医学信息,2022,35(16):132.[doi:10.3969/j.issn.1006-1959.2022.16.033]
　YANG Ping,YUAN Hua-bing.Analysis of Characteristics and Direct Economic Burden of Multi-drug Resistant Organisms in Tertiary General Hospitals[J].Journal of Medical Information,2022,35(17):132.[doi:10.3969/j.issn.1006-1959.2022.16.033]
[8]宣恒报,成玉春,杨士军.医院感染的耐药菌分布特点与药物应用[J].医学信息,2019,32(22):114.[doi:10.3969/j.issn.1006-1959.2019.22.037]
　XUAN Heng-bao,CHENG Yu-chun,YANG Shi-jun.Distribution Characteristics and Drug Application of Drug-resistant Bacteria in Nosocomial Infection[J].Journal of Medical Information,2019,32(17):114.[doi:10.3969/j.issn.1006-1959.2019.22.037]
[9]王蓉芬,莫明露,陶 媛,等.2016~2018年某院ICU 医院感染目标性监测及干预[J].医学信息,2019,32(23):96.[doi:10.3969/j.issn.1006-1959.2019.23.026]
　WANG Rong-fen,MO Ming-lu,TAO Yuan,et al.Target Surveillance and Intervention of Nosocomial Infection in ICU from 2016 to 2018[J].Journal of Medical Information,2019,32(17):96.[doi:10.3969/j.issn.1006-1959.2019.23.026]
[10]邱 夏,江 涛,邹 标.早期肠内营养与肠外营养对应激性溃疡患者CRP水平的影响研究[J].医学信息,2021,34(21):58.[doi:10.3969/j.issn.1006-1959.2021.21.014]
　QIU Xia,JIANG Tao,ZOU Biao.Effect of Early Enteral Nutrition and Parenteral Nutrition on CRP Level in Patients with Stress Ulcer[J].Journal of Medical Information,2021,34(17):58.[doi:10.3969/j.issn.1006-1959.2021.21.014]
[11]王雪梅,区 清.某二级医院医院感染现患率调查分析与对策[J].医学信息,2018,31(05):120.[doi:10.3969/j.issn.1006-1959.2018.05.042]
　WANG Xue-mei,QU Qing.Investigation and Analysis of Nosocomial Infection Rate in a Level-II Hospital and its Countermeasures[J].Journal of Medical Information,2018,31(17):120.[doi:10.3969/j.issn.1006-1959.2018.05.042]
[12]李 巧,田 娟,张 娟,等.2018-2020年某综合医院医院感染现患率调查[J].医学信息,2022,35(07):155.[doi:10.3969/j.issn.1006-1959.2022.07.040]
　LI Qiao,TIAN Juan,ZHANG Juan,et al.Investigation of Nosocomial Infection Prevalence Rates in a General Hospital from 2018 to 2020[J].Journal of Medical Information,2022,35(17):155.[doi:10.3969/j.issn.1006-1959.2022.07.040]

更新日期/Last Update: 2019-09-01