摘   要：目的  了解某二級醫(yī)院住院患者醫(yī)院感染基本情況，為有效預防和控制醫(yī)院感染提供依據。方法  在2016 年9月8日和2017年7月11日采用橫斷面調查方法，連續(xù)2年對玉林市桂南醫(yī)院（國家二級甲等綜合性醫(yī)院）住院患者醫(yī)院感染現患率情況進行調查與分析。結果  共調查住院患者885例（其中2016 年9月8日425例，2017年7月11日460例），顯示醫(yī)院感染現患率分別為1.65%和1.96%。感染部位居前三位的為下呼吸道、泌尿系統(tǒng)和上呼吸道，以下呼吸道感染為主，感染主要集中在內科系統(tǒng)。檢出病原菌主要是大腸埃希菌，其次是肺炎克雷伯菌。2016年9月8日和2017年7月11日使用抗菌藥物治療前病原學標本送檢率分別為18.86%和19.87%，抗菌藥物使用率分別為45.65%和48.91%。結論  該醫(yī)院住院患者醫(yī)院感染現患率低于文獻報道，醫(yī)院感染患者主要集中在內科系統(tǒng)，提示應重點加強內科的消毒隔離工作。
　　關鍵詞：醫(yī)院感染;現患率;消毒;隔離
　　中圖分類號：R181                                   文獻標識碼：A                                 DOI：10.3969/j.issn.1006-1959.2018.05.042
　　文章編號：1006-1959（2018）05-0120-03
　　Investigation and Analysis of Nosocomial Infection Rate in a Level-II Hospital and its Countermeasures
　　WANG Xue-mei，QU Qing
　�。―epartment of Infectious Diseases Management，Guinan Hospital，Yulin 537005，Guangxi，China）
　　Abstract：Objective  To understand the basic situation of nosocomial infection among hospitalized patients in a level II hospital and to provide evidence for the effective prevention and control of nosocomial infection.Methods  Cross-sectional investigation was used in September 8th 2016 and July 11th 2017.The present nosocomial infection rate of the hospitalized patients in Guinan hospital of Yulin city（State Grade A General Hospital）for 2 consecutive years was investigated and analyzed.Results  A total of 885 hospitalized patients were investigated（425 in September 8，2016 and 460 in July 11，2017），which showed that the prevalence rate of nosocomial infection was 1.65% and 1.96% respectively.The first three of the infected sites were lower respiratory tract，urinary system and upper respiratory tract.The following respiratory tract infection was the main infection.The infection was mainly concentrated in the internal medicine system.The main pathogenic bacteria were Escherichia coli，followed by Klebsiella pneumoniae.In September 8，2016 and July 11，2017，the rates of pathogenic specimens were 18.86% and 19.87%，respectively，and the usage rates of antibacterial agents were 45.65% and 48.91% respectively.Conclusion  The prevalence rate of nosocomial infection in inpatients in this hospital is lower than that reported in literature，and the nosocomial infection patients are mainly concentrated in the medical system，which suggests that the disinfection and isolation work of internal medicine should be strengthened.

相關熱詞搜索：醫(yī)院 對策 感染 調查 分析