一所综合医院的医院感染现患率调查分析A Survey on Nosocomial Infecetions in A General Hospital
丁江,梁德玲,王振宇,田茂强,肖莉,吴祥福,陈永波,周福琳,谢江平
DING Jiang; LIANG De-ling; WANG Zhen-yu; TIAN Mao-qiang; XIAO Li;
;WU Xiang-fu; CHEN Yong-bo; ZHOU Fu-lin;
摘要(Abstract):
目的:了解综合医院感染现患率状况,为制定医院感染控制措施提供可靠依据。方法:以2001年6月27日零时~24时所有住院病人为调查对象,采取床旁逐个询问、体检和查阅住院病历调查相结合的方法,并按全国医院感染监控网的要求逐项填写个案调查表。结果:调查当日住院病人246例(应查250例),实查率为98.40%,发生医院感染12例,医院感染率为4.88%。在医院感染部位中手术部位感染4例,占33.33%;泌尿道感染4例,占33.33%,两者并居首位,其次是皮肤软组织感染3例,占25%;下呼吸道感染1例,占8.33%。结论:改进监测方法,减少侵入性操作,合理应用抗生素是降低医院感染率的关键。
Objective;To etimate the status of nosocomial infections in a general hospital so as to give the basis of control measures to nosocomial infections. Methods: All hospitalized patients in the hospital on June 27 2001 were investigated by bed-visiting, and body checking, combining with refering of their history of diseases. Results;Of the 246 patients investigated, 12 patients had nosocomial infections, including urinary tract infection 4 cases (33. 33% ) , gastrointestinal tract infection 4 cases (33. 33% ), skin-soft tract infection 3 cases (25% ) , and respiratory tract infection 1 case (8. 33% ). The general infection rate of the hospital was 4. 88%. Conclusion;To improve surveillance method, reduce intruding manipulation, and reasonablly use antibiotics are the key to decrease nosocomial infection.
关键词(KeyWords):
交叉感染;横断面研究;住院病人
cross infection; cross-sectional studies; inpatients
基金项目(Foundation):
作者(Authors):
丁江,梁德玲,王振宇,田茂强,肖莉,吴祥福,陈永波,周福琳,谢江平
DING Jiang; LIANG De-ling; WANG Zhen-yu; TIAN Mao-qiang; XIAO Li;
;WU Xiang-fu; CHEN Yong-bo; ZHOU Fu-lin;
DOI: 10.19367/j.cnki.1000-2707.2003.04.012
参考文献(References):
- [1] Sax H,Hugonnt S,Harbarth S,et al. Variation in nosocomial infection prevalence ac-cording to patient care setting: a hospital-wide survey [J]. J Hosp Infect,2001,48(1) :27-32.
- [2] Pavia M,Bianco A,Viggani NMA,et al. Prevalence of hospital-acquired infection in Italy [J]. J Hosp Infect, 2000,45 (1) : 135-139.
- [3] Jepsen OB. Infection contral in Danish healthcare: organization and prevalence surveys of hospital-acquired infection in Greet hospital [J],J Hosp Infect,1999,41 (1) : 11-18.
- [4] 杨华明,易滨.现代医院消毒学[M].北京:人民军医出版社,2002. 6-7.
文章评论(Comment):
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- 丁江
- 梁德玲
- 王振宇
- 田茂强
- 肖莉
- 吴祥福
- 陈永波
- 周福琳
- 谢江平
DING Jiang - LIANG De-ling
- WANG Zhen-yu
- TIAN Mao-qiang
- XIAO Li
- WU Xiang-fu
- CHEN Yong-bo
- ZHOU Fu-lin
- 丁江
- 梁德玲
- 王振宇
- 田茂强
- 肖莉
- 吴祥福
- 陈永波
- 周福琳
- 谢江平
DING Jiang - LIANG De-ling
- WANG Zhen-yu
- TIAN Mao-qiang
- XIAO Li
- WU Xiang-fu
- CHEN Yong-bo
- ZHOU Fu-lin