ABSTRACT
OBJECTIVE To discuss the reasons of causing mistakes in the nosocomial infection reports.METHODS We collected 183 cases with inaccurate reports and analyzed them by the prospective method.RESULTS The major reasons of causing the inaccurate nosocomial infection reports were the ill-defined infection time,inaccurate diagnostic standard,and the lack of clinic training.CONCLUSIONS It can reduce the inaccurate nosocomial infection reports,advance the level of nosocomical infection diagnosis,and improve the work efficiency through special training,in paralleling with the manager of nosocomial infection going deep into sickroom and communicating with clinicians.
ABSTRACT
OBJECTIVE To survey antibiotic use and its rationality in clinical settings. METHODS Randomly selected medical records of 500 patients from Oct to Dec of 2004 were reviewed for retrospective studies.Analysis with regard to drug category combination purpose,therapeatic course,indications and resistance was conducted. RESULTS The incidence of antibiotic use was 98%,31% of which was intended for active treatment,and 69% for preventive regimen;65% of the cases in internal medicine were for active treatment,and 34% for preventive regimen,45% of the cases in surgical use were for active treatment,and 54% were for preventive purposes.The total number of antibiotic use was 539 case-times.In terms of preventive use,single drug comprised 57%,bi-drug therapy 19%,before operations 19%,and local use was 5%.As for active treatment single drug consisted of 49%,two-drugs 27%,three-drugs 7%,and four-drugs 1%,local use accounted for 16%.Fifty five cases of the therapeutic use of antibiotics were reviewed,taking up 28% of the total with 19 positive cases,whose positive rate accounted for 35%. CONCLUSIONS The administration of the reasonable use of antibiotics is a systematic project.
ABSTRACT
OBJECTIVE To assess the current status of nosocomial infection and antibiotics utilization of the hospital.METHODS The hospital infection rate was investigated,by means of prevalence survey and investigation of bed-side and cases records.RESULTS Of the 1620 surveyed cases,the prevalence rate was 5.49% and the case prevalence rate 5.93%.And the top three infected sites were the lower respiratory tract,upper respiratory tract and urinary tract(48.88%,13.54% and 10.42%,respectively).The total number of antibiotic use was 599 case-times.The incidence of antibiotic use was 36.9%.Of 322 cases,53.76% was intended for active treatment,and 34.56% for preventive regimen.CONCLUSIONS It is necessary to strengthen management of hospital infection and the management of clinical antibiotic usage in some wards.
ABSTRACT
OBJECTIVE To improve the accuracy of the radiant intensity detection of ultraviolet lamp and ensure its disinfection effect.METHODS At the different time after use of the ultraviolet lamp,its radiant intensity was measured by using the luminometer,and estimated.RESULTS If the ultraviolet lamp with good uality and worked one hour each day,with detected intensity ≥90 ?W/cm2,it could be used one year continuously,when ≥80 ?W/cm2,it could be used 6 months continuously,and when 80-75 ?W/cm2,it could be used 1 month continuously.The lump's detected intensity must be exceeded over 70 ?W/cm2.CONCLUSIONS The method that detecting the radiant intensity of ultraviolet lamp in scheduled time and consulting the used time of lump is viable.The method is real,simple,convenient and easy manipulated and ensures the effectiveness of disinfection by using ultraviolet lamp.