Investigation Of Infection In Polyclinic In Hai Nan

Objective By cross-sectional epidemiological investigation method,a comprehensive 3 armour hospital infection status in hainan,to explore the epidemic feature of the development trend of solve the characteristics about the current situation of hospital infection,clear in hospital infection management problems that exist in the process,work achievement,for medical workers to do further standardize hospital infection prevention and treatment,the formulation and implementation of various management measures to prevent hospital infection,can effectively prevent the occurrence of hospital infection.Medical staff will further standardize the prevention and treatment of nosocomial infections,and formulate and implement various management measures to prevent nosocomial infections,which can effectively prevent nosocomial infections.MethodsThis study was conducted on August 7,2018 from 00:00 to 24:00 using a cross-sectional survey method for all inpatients(including hospital admissions,referrals,deaths,new infections,or infections).Investigate.Using the method of bedside inquiry and case combination,according to the input information of HIS system,fill in the unified "Hospital Infection Survey Form" one by one to conduct a cross-section investigation and analysis of a comprehensive top three hospital.Investigate gender,age,prevalence of nosocomial infections and community infections,distribution of infection sites,nosocomial pathogens,rates of pathogenic bacteria detection,use of antibiotics,and antibiotic resistance.After checking and finishing,a database was set up with EXCEL,and statistical analysis was performed using SPSS21.0 software.The count data were tested by 2 test,and P < 0.05 was considered as difference,which was statistically significant.ResultsThe number of hospitalized people in this survey was 1,894,and the actual examination was 1,894.The actual examination rate was 100%.The prevalence rate of nosocomial infection was 2.48%,and the case rate of nosocomial infection was2.69%.The highest prevalence rate of infections in hospitals with facial features is 12.50%,the highest ICU in the internal medicine system is 33.33%,and the highest in the cardiovascular surgery department of the surgical system is 22.73%.The prevalence of community infections was the highest among the pediatrics,91.67%.The antibiotic use rate is 31.52%.The combined medicines and preventive medicines are mainly used in this hospital.The preventive medicines are mainly used in the departments of internal medicine,surgery,pediatrics and facial medicine.The pathogen detection rate was 64.66%.Nosocomial and community-infected sites account for the lower respiratory tract.Postoperative pneumonia accounted for 9.80%.Nosocomial pathogenic bacteria were mainly Agrobacterium tumefaciens,accounting for 34.29%;Pseudomonas aeruginosa was the main pathogenic community infection,accounting for 13.10%.The use rate of antibiotics is 100%,and β-lactams are the main types in internal medicine and surgery,accounting for 35.42% and 24.53%,respectively;the third generation is cephalosporins.In community infection,the resistance of Staphylococcus aureus was18.57%;the surgical operation was Escherichia coli,which accounted for 22.64%.There were no significant differences in age group,incision type,and multidrug resistance of nosocomial infection.Nosocomial infection was obviously differentiated among patients with basic diseases,and the infection of patients with respiratory diseases was the first among all the diseases investigated。Conclusions1.In this hospital,the prevalence of nosocomial infections is slightly lower than the national level.The ICU department is a high incidence area of nosocomial infections;ICU,emergency department,and cardiovascular surgery are the key targets of nosocomial infection monitoring in this survey.The prevalence of nosocomial infections is consistent with the results of routine hospital monitoring,which may also be related to clinicians’ underreporting and concealment.Community infection rates are also lower than national levels,and the faculty of commissariat is a high incidence department of community infection.2.Age and incision type are not related to nosocomial infections.Patients with underlying diseases are related to nosocomial infections.Nosocomial infections of patients with respiratory diseases rank first.3.Nosocomial infections and community infections The sites of lower respiratory infections rank first.The source of infectious agents is also mainly from lower respiratory tract infections.Nosocomial pathogenic bacteria were mainly Acinetobacter baumannii;community-infected pathogenic bacteria were mainly Pseudomonas aeruginosa.4.Antibiotic use rate is higher than national standard.The hospital’s medication guidelines are based on prevention.Orthopaedics,pediatrics,internal medicine,other departments,surgery are based on the preventive drug guidelines。The characteristics of pediatrics,pediatrics,internal medicine,other departments,and surgery are based on the guidelines for preventive medication.Obstetrics and gynecology medication guidelines are based on treatment.One combination is mainly used,and the rate of other combination is relatively low.The rate of antibacterial drug pathogens was 64.66%.The department with the highest rate of pathogenic bacteria was faculty;the department with the lowest rate was obstetrics.5.There are 692 types of antibiotics used in our hospital.The highest usage rate is penicillin β-lactam antibiotics,of which the main treatment drugs.In the medical and surgical systems,penicillin β-lactams are also the mainstays;followed by third-generation cephalosporin antibiotics.6.There is no significant difference in multidrug resistance among hospital infection departments,which may be related to the sample size.Multi-drug resistance in various departments of community infection,of which Staphylococcus aureus has the highest resistance.The key monitoring departments are multidrug resistance in internal medicine and surgery.