[1]杨玉翠,石丽丽,程麦莉,等.某三甲中医院近2年医院感染横断面调查结果对比研究[J].西部中医药,2017,30(03):86-88.
　YANG Yucui,SHI Lili,CHENG Maili,et al.Comparative Study of Nosocomial Infection Cross-sectional Study Results of a Three-grade Hospital of Traditional Chinese Medicine in Recent Two Years[J].Western Journal of Traditional Chinese Medicine,2017,30(03):86-88.
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某三甲中医院近2年医院感染横断面调查结果对比研究()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年03期
页码:
86-88
栏目:
出版日期:
2017-03-15

文章信息/Info

Title:
Comparative Study of Nosocomial Infection Cross-sectional Study Results of a Three-grade Hospital of Traditional Chinese Medicine in Recent Two Years
文章编号:
1004-6852(2017)03-0086-03
作者:
杨玉翠，石丽丽，程麦莉，薛世萍
甘肃省中医院，甘肃 兰州 730050
Author(s):
YANG Yucui, SHI Lili, CHENG Maili, XUE Shiping
Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
医院感染; 横断面调查; 现患率
Keywords:
nosocomial infection;  cross-sectional study;  prevalence rate
分类号:
R197.3
文献标志码:
A
摘要:
目的：比较某三甲中医院近2年医院感染横断面调查结果的变化趋势。方法：采用横断面调查的方法，对2014、2015年某天医院感染现患率、抗菌药物使用及病原学监测资料进行对比分析。结果：2015年某天医院感染现患率为1.30%，高于2014年某天现患率的0.97%，差异有统计学意义(P＜0.05)；2014年某天医院感染病例中泌尿系统感染最高，占40.00%，2015年某天以上呼吸道感染为主，占58.82%，2015年某天抗菌药物使用率为18.67%，较2014年某天使用率的22.81%有所下降，2015年某天预防用药比例为49.38%，较2014年某天的60.68%有所下降，2015年某天治疗用药病原微生物送检率为31.45%，较2014年某天的18.47%有所上升，2015年某天抗菌药物一联用药比例为84.90%，较2014年某天的66.24%有所上升，二联、三联用药比例下降，其差异均有统计学意义(P＜0.05)。结论：加强医院感染防控及抗菌药物的监管，使得医院感染防控工作取得了良好成效。
Abstract:
Objective: To compare the change trend of nosocomial infection cross-sectional study results of a third-grade hospital of traditional Chinese medicine in recent two years. Methods: Cross-sectional study method was used to compare and analyze the prevalence rate of nosocomial infection, the use of antibiotics and the monitoring data of pathogens between 2014 and 2015. Results: The prevalence rate of nosocomial infection (1.30%) in 2015 was higher than that in 2014(0.97%), and the difference was statistically significant (P＜0.05); In 2014, the urinary tract infection was the highest in the hospital infection, accounting for 40.00%. And the upper respiratory tract infection was the main one in 2015, accounting for 58.82%. Besides, the utilization rate of antibacterial drugs was 18.67% in 2015, lower than 22.81% in the year of 2014. The proportion of preventive medication in the year of 2015 was 49.38%, lower than 60.68% in the year of 2014. In addition, the examination rate of pathogenic microorganisms for treatment was 31.45% in 2015, which was higher than 18.47% in 2014. And the proportion of the single use of antibiotics was 84.90% in 2015, which was higher than 66.24% in 2014, and decreased from those of the proportion of the two combinations and three combinations uses of antibiotics. Moreover, the difference was statistically significant(P＜0.05). Conclusion: By strengthening the prevention and control of nosocomial infection and the regulation of antimicrobial agents, prevention and control work of hospital infection has achieved good results.

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备注/Memo

备注/Memo:
收稿日期：2016-06-17 作者简介：杨玉翠(1973—)，女，主管护师。研究方向：公共卫生与医院感染。
更新日期/Last Update: 2017-03-15