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医院感染漏报原因分析与对策

     

摘要

目的:提高医院感染监控水平,降低漏报率.方法:采用回顾性调查分析梳理医院感染病例漏报原因,探讨其解决办法.结果:2007年~2008年医院感染漏报率分别为36.95%、33.03%,2009年1~9月医院感染漏报情况逐步改善,漏报率降为16.30%.结论:通过加强组织领导和全员参与管理,加强宣传教育与感控专业培训,完善规章制度和改进工作流程相结合,加强实时监控与感染目标监测,加强微生物检测与抗菌药物合理应用"五个结合",可降低感染漏报率,最终实现医院感染控制目标.%Objective:To raise the level of nosocomial infection surveillance and reduce the rate of underreport. Methods:Using a retrospective survey to hackle the reasons of hospital infection underreport and then to discuss the solutions. Results:The underreport rate of hospital infection in 2007 and 2008 were 36.95% and 33.03% respectively. In January to September of 2009,the underreport circumstances of nosocomial infection was improving gradually and the rate of underreport was 16.30%. Conclusion: By strengthening the organizational guidance and full participation in the management, stepping up publicity and education as well as professional training in infection control, perfecting bylaw and mending work - flow, strengthening real - time control and infection target detection,enhancing microbial detection and the rational use of antibacterial. Those five- combination can reduce the rate of the infection underreport and finally achieve the control goal of the nosocomial infection.

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