J4 ›› 2014, Vol. 13 ›› Issue (8): 41-44.

• 临床医学 • 上一篇    下一篇

2008年至2012年某省级医院医院感染现患率调查分析

  

  1. 大理学院红会教学医院,昆明 650021
  • 收稿日期:2013-12-09 出版日期:2014-08-15 发布日期:2014-08-15
  • 作者简介:李俊峰,主治医师,主要从事医院管理研究.

Investigation and Analysis of the Prevalence Rate of Hospital Infection in a Provincial Hospital in Yunnan
from 2008 to 2012

  1. Honghui Teaching Hospital of Dali University, Kunming 650021, China
  • Received:2013-12-09 Online:2014-08-15 Published:2014-08-15

摘要:

目的:评价某省级医院2008年至2012年医院感染横断面调查结果的变化趋势。方法:对2008年至2012年医院感染现
患率进行比较分析。结果:2008年医院感染现患率较其他4年,差异有统计学意义(P<0.05)。从2008年至2012年上呼吸道感染率由2.28%降至1.06%,下呼吸道感染率由2.85%降至1.82%,泌尿道感染率由1.48%降至0.53%;手术部位感染由0.34%上升至1.06%(P<0.01)。抗生素使用率由44.60%降至22.31%(P<0.01);一联用药构成比由80.23%上升至88.10%(P<0.01);二联及三联用药构成比显著下降(P<0.05)。细菌培养率由7.67%上升至60.91%(P<0.01)。结论:医院感染控制工作取得良好成效。

关键词: 医院感染, 横断面调查, 现患率, 抗生素, 评价

Abstract:

Objective: To evaluate the changing trend in the hospital infection transection investigation results from 2008 to 2012.
Methods: The prevalence rate of hospital infection during the five years was compared and analyzed. Results: The difference in the prevalence rate of infection in 2008 was statistically significant(P<0.05), compared with the year 2009, 2010, 2011 and 2012. The prevalence rate of infection in upper respiratory tract declined from 2.28% to 1.06%(P<0.01), lower respiratory tract declined from 2.85% to 1.82%(P<0.01), urinary tract declined from 1.48% to 0.53%(P<0.01), and surgical site increased from 0.34% to 1.06%(P<0.01). The usage rate of antimicrobial agents declined significantly from 49.60% to 22.31%(P<0. 01). The constituent ratio of single antimicrobial usage increased from 80.23% to 88.10%(P<0.01), while the constituent ratio of two combined and three combined antimicrobial usage declined significantly(P<0. 05). The ratio of bacterial culture rose sharply from 7.67% to 60.91%(P<0. 01). Conclusion: The infection control work in the hospital had produced remarkable positive effects.

Key words: hospital infection, transection investigation, prevalence rate, antimicrobial agents, evaluation

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