某二级甲等综合医院住院患者抗菌药物治疗前-病原学送检情况分析

doi:10.3969/j.issn.1006-5253.2023.06.00４

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摘要目的了解2020—2022年某二级甲等综合医院3年住院患者抗菌药物治疗前病原学送检情况，为医院感染管理提供依据。方法回顾性收集2020—2022年住院患者抗菌药物治疗前、联用重点抗菌药物前及医院感染诊断病原学送检情况、阳性检出情况，对送检率、阳性检出率进行分析。结果 3年间抗菌药物治疗前病原学送检率呈上升趋势，差异有统计学意义(Z=17.556，P＜0.01）;抗菌药物治疗前阳性检出率呈下降趋势，差异有统计学意义（Z＝-8.398，P＜0.01）；抗菌药物治疗前、联用重点抗菌药物前及医院感染诊断病原学送检率为48.78%、94.68%、69.85%，阳性检出率为24.25%、46.31%、38.89%。结论、医院抗菌药物治疗前病原学送检率未达国家目标要求，各科室阳性检出率较低，医院应加强微生物标本采集和送检工作。

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	韩双海
	马德辉
	田维才
	陈涛

关键词 ：二甲综合医院, , 病原学送检, , 抗菌药物治疗

Abstract：Objective To understand the pathogen submission of inpatients before antimicrobial treatment in a upper second-class general hospital from 2020 to 2022, so as to provide a basis for hospital infection management.Methods The data of pathogen submission and positive detection of hospitalized patients before antimicrobial treatment, before combined use of key antibiotics and hospital infection diagnosis from 2020 to 2022 were retrospectively collected, and the submission rate and positive detection rate were analyzed.Results During the 3 years, the rate of pathogen detection before the antibiotic treatment increased, and the difference was statistically significant (Z=17.556, P＜0.01). The positive detection rate before the treatment decreased, and the difference was statistically significant (Z＝-8.398, P＜0.01). The rates of pathogenic detection were 48.78%, 94.68% and 69.85% before the antibiotic treatment, before the combination with key antibiotics, and nosocomial infection diagnosis, and the positive detection rates were 24.25%, 46.31% and 38.89%.Conclusion The rate of pathogen detection before the antibiotic treatment in the hospital cannot meet the national target requirements, and the positive detection rate of each department is low. The hospital should strengthen the collection and submission of microbial specimens.

Key words： upper second-class general hospital pathogen examination antimicrobial treatment

收稿日期: 2023-07-25

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通讯作者: 韩双海，Email：1538387166@qq.com

引用本文:

韩双海，马德辉，田维才，陈涛. 某二级甲等综合医院住院患者抗菌药物治疗前-病原学送检情况分析 [J]. 中国医院统计, 2023, 30(6): 418-421.
Han Shuanghai，Ma Dehui，Tian Weicai，Chen Tao. Analysis of etiological examination of inpatients before antibiotic therapy in a upper secondclass general hospital. journal1, 2023, 30(6): 418-421.

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