某妇幼保健院医院感染现患率调查
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李晖

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R181.3+2

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深圳市科创委基础研究项目(JCYJ 20140414145349528)


Pevalence rate of healthcareassociated infection in a maternal and child health care hospital
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    摘要:

    目的了解某妇幼保健院2014年医院感染情况,为进一步目标性监控提供科学循征依据。方法采用床旁调查与在架运行病历调查相结合的方法,对该院住院患者进行医院感染横断面调查。结果实查住院患者768例,发现医院感染9例,医院感染现患率为1.18%;现患率排名居前3位的科室依次为产科重症监护室(ICU,9.09%)、新生儿ICU(NICU,5.80%)、妇二区(2.22%);抗菌药物使用率为30.34%(233例),其中预防性使用抗菌药物134例,占57.51%;单一用药者165例,占70.82%。医院感染患者共检出病原菌5株,其中无乳链球菌2株,肺炎克雷伯菌、粪肠球菌、腐生葡萄球菌各1株,除无乳链球菌外,其余3株均为多重耐药菌。结论医院应高度重视多重耐药菌的感染监控,采取目标性监测与集束化干预的方法,以降低多重耐药菌医院感染的发生。

    Abstract:

    ObjectiveTo understand healthcareassociated infection(HAI) in a maternal and child health care hospital, so as to provide scientific evidences for further targeted surveillance.MethodsA crosssectional survey was performed by bedside visiting and medical record reviewing.ResultsOf 768 hospitalized patients, 9(1.18%) had HAI, the top 3 highest prevalence rates were found in obstetrical intensive care unit (9.09%), neonatal intensive care unit (5.80%) and gynecological department II(2.22%). Antimicrobial usage rate was 30.34%(n=233), 134 of which (57.51%) were prophylactic use, 165 were monotherapy(70.82%). A total of 5 pathogenic bacteria were isolated, the number of Streptococcus agalactiae,Klebsiella pneumonia, Enterococcus faecalis, and Staphylococcus saprophyticus was 2,1,1, and 1 respectively, except Streptococcus agalactiae, the other 3 strains were multidrugresistant organisms(MDROs).ConclusionSurveillance on MDRO infection should be paid much attention, the occurrence of MDRO infection should be reduced through targeted and bundle intervention.

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李晖,高晓玲,钟巧,等.某妇幼保健院医院感染现患率调查[J]. 中国感染控制杂志,2015,14(5):336-338. DOI:10.3969/j. issn.1671-9638.2015.05.013.
LI Hui, GAO Xiaoling, ZHONG Qiao, et al. Pevalence rate of healthcareassociated infection in a maternal and child health care hospital[J]. Chin J Infect Control, 2015,14(5):336-338. DOI:10.3969/j. issn.1671-9638.2015.05.013.

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  • 收稿日期:2015-03-10
  • 最后修改日期:2015-04-10
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  • 在线发布日期: 2015-05-30
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