Nosocomial Infection Prevalence Rate Investigation And Analysis In Top Three Hospital

Objective: The paper surveys the hospital infection cross-sectional, to understand the hospital nosocomial infection rates, the characteristics of hospital infection, types, multiple drug-resistant bacteria susceptible to pathogens distribution and use of antimicrobial agents. It prevents nosocomial infections, to reduce the incidence of nosocomial infection, to increase the rate of pathogen microorganism inspection, clinical guide clinical rational use of antimicrobial agents, and providing scientific evidence for prevention measures of nosocomial infection. Methods: According to the requirements of the national hospital infection monitoring network, Respectively,from 0:00 to 24:00 on May17, in 2011, and on May 17,in 2012, all hospitalized patients during the investigation; Including the hospital patients, not including the day in hospital patients, time use survey combined with access hospitalized cases by the bed one day, fill out a unified case questionnaire. Survey 3 armour hospital nosocomial infection rate,hospital infection risk factors, pathogens and antibiotic used and microorganism inspection. Departments in accordance with the minimum of 50 beds, equipped with an infection quality investigators department arrange the attending physician and a nurse as a quality control personnel department, Hospital infection branch 3 to 7 days prior to the survey unified training investigators, purposes and methods of investigation and data collection, All data unified collect to infection management section, in a state of hospital infection cases were analyzed. Patients with special emphasis on have been investigated if change one’s major should indicate that day, not repeat survey. Personnel should improve all hospitalized patients with nosocomial infection related inspection project. Results:In 2011, hospital infection should check 917 cases, 906 cases in acturely, check the rate by 98.80%;69 cases of hospital infection occurred, the hospital infection rate 7.62% now; Real check 1274, and in 2012, 89 people, the occurrence of nosocomial infection in the hospital,infection rate was 6.99%, were higher than routine continuity survey results. In 2011, hospital infection rates among the top five are ICU, newborn group, neurology, respiratory intensive care unit and general surgery; In 2012 hospital infections of top five is ICU,newborn group,neurology, respiratory intensive care unit and Hematology Department.In 2011, a total of 37 strains pathogenic bacteria detection microbial samples 121, pathogen detection rate 30.58%; in 2012 check out 52 strains pathogenic bacteria, microbial samples 165, pathogen detection rate of 31.52%.Two annual average detection, pseudomonas aeruginosa, is growing rapidly in recent years the conditional pathogenic bacteria, and leading to one of the important pathogens of nosocomial infection. Antimicrobial drug using in hospitalized patients in 2011 was 56.51%, antimicrobial usage in 2012 was 47.49%. The hospital infection site top five distribution is given priority to, the following respiratory tract followed by organization, urinary tract, superficial incision in the abdominal cavity and skin soft tissue; hospital infection was followed by the lower respiratory tract, urinary tract, abdominal cavity organization, superficial incision and upper respiratory tract in 2012. Respiratory for nosocomial infection parts are the first in the following two years. Hospital infection risk factors in 2011, is mainly for the use of breathing machine, tracheotomy, urinary tract intubation, adrenal cortical hormone and radiation therapy, chemotherapy risk factors of urinary tract intubation, and in 2012,the risk factors are using breathing machine, tracheotomy, hemodialysis,chemotherapy and radiotherapy. Conclusion: 1. the two years hospital infection rates are held steady, below the nationalhospital rate < 10%. 2. department distribution in ICU, neonatal unit and neurology infection rates higherthan other departments, is the focus of the hospital infection monitoring. 3. respiratory infection is the mainly nosocomial infection. 4. independent risk factors for nosocomial infection are using of breathing machine, tracheotomy, urinary tract intubation and arteriovenous intubation. 5. the most common nosocomial infection pathogens for e. coli, enterococcus genus mycobacterium and staphylococcus aureus. 6. Antibiotic used in hospitalized patients, most of the third generation cephalosp orins, antibiotic used is higher than the national standard, give priority to with treatment of internal medicine, pediatrics, surgery, gynecology and obstetric operation department in order to prevent drug use. Clinical pathogens inspection rate is low, Doctors often treat patients with experience and prevention.