|本期目录/Table of Contents|

[1]沈小玥,穆小苏,黄慧敏,等.医院感染横断面调查在内科系统中的应用分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(05):461-464.[doi:10.3969/j.issn.1672-271X.2016.05.004]
　SHEN Xiao-yue,MU Xiao-su,HUANG Hui-min,et al.Analysis and investigation of cross sectional nosocomial infections in a general hospital of internal system[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(05):461-464.[doi:10.3969/j.issn.1672-271X.2016.05.004]
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医院感染横断面调查在内科系统中的应用分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年05期
页码:
461-464
栏目:
出版日期:
2016-09-20

文章信息/Info

Title:
Analysis and investigation of cross sectional nosocomial infections in a general hospital of internal system
作者:
沈小玥; 穆小苏; 黄慧敏; 方红梅; 尹湘毅; 李亚楠; 尹诺
210002江苏南京，南京军区南京总医院感染管理科
Author(s):
SHEN Xiao-yue;  MU Xiao-su;  HUANG Hui-min;  FANG Hong-mei;  YIN Xiang-yi;  LI Ya-nan;  YIN Nuo
Department of Infection Control, Nanjing General Hospital of Nanjing Military Command,PLA, Nanjing, Jiangsu 210002, China
关键词:
医院感染; 横断面; 调查分析
Keywords:
hospital infection;  cross-section;  investigation and analysis
分类号:
R197.323
DOI:
10.3969/j.issn.1672-271X.2016.05.004
文献标志码:
A
摘要:
目的 通过医院内科系统的感染横断面调查，对在当前情况下的医院感染相关危险因素、重点部门和感染率进行详细了解，从而为医院感染管理的改善和跟进提供科学依据。方法 通过查阅住院病历和床旁调查的方法 ，对医院内科系统所有住院患者进行医院感染横断面调查，时间为2015年11月25日0～24点。结果 共调查972例医院内科系统住院患者，发现了38例医院感染患者，现患率为3.91％。医院感染现患率较高的前三位科室依次为消化内科干部病房、血液病科、心脏内科干部病房，感染率分别为15.62%、15.00%、15.00%。就感染部位而言，下呼吸道感染居首位，共25例占65.79％；其次为泌尿道感染和上呼吸道感染，均为5例，占13.16％。革兰阴性菌占医院感染病原菌的大多数,主要为铜绿假单胞菌,肺炎克雷伯菌、阴沟肠杆菌等。使用抗菌药物的患者共312例，使用率为32.10%，其中预防性使用的为14例，占4.49%。危险因素分析结果 显示年龄≥70岁、使用呼吸机、住院天数≥12 d是医院感染的高危因素。结论 医院感染横断面调查可以详细对医院感染发生的当前情况进行分析，从而对医院感染管理工作的重点根据当前情况进行适时地调整，更加有针对性，使预防和控制医院感染的效果更加明显。
Abstract:
Objective To understand the risk factors, key departments and hospital infection rate of internal system through the hospital infection cross-sectional survey and provide the scientific basis for strengthening and following up the hospital infection management. Methods A cross-sectional survey of internal system was conducted for the nosocomial infection in the patients who were hospitalized by means of bedside visits combined with medical history. The survey was conducted between 0:00 and 24:00 on Nov 25, 2015. Results Of totally 972 cases of hospitalized patients in internal system, 38 cases of hospital infection were detected. The hospital infection rate was 3.91%. Nosocomial infection prevalence rate was higher in the three departments of Gastroenterology wards, blood diseases and cardiac medical wards and the infection rates were 15.62%, 15% and 15% respectively. For infection site, lower respiratory tract infections ranked the first (25 cases, 65.79%), followed by urinary tract infection (5 cases, 13.16%) and upper respiratory tract infection (5 cases, 13.16%). Nosocomial infection pathogens was given priority to gram-negative bacteria and pathogenic bacteria were mainly pseudomonas aeruginosa, klebsiella pneumoniae, sewer e. coli, etc. A total of 312 cases used antibiotics, and the antibiotic usage rate was 32.10%. Among them, 14 cases were for prophylactic purposes and the rate was 29.78%. The main risk factors for nosocomial infection were age (≥70 years), mechanical ventilation and hospital day (≥12 days). Conclusion Hospital infection cross-sectional survey can be detailed analyzing the current status of hospital infection, timely adjust the hospital infection management work according to the present situation and more targeted in a targeted manner, so as to control and prevent hospital infections more effectively.

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备注/Memo

备注/Memo:
中国博士后科学基金面上项目（2014M552701）；江苏省博士后科学基金项目（1302073C）
更新日期/Last Update: 2016-12-09