2016-2018年某三甲医院医院感染现患率调查结果分析
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摘要
目的:了解2016-2018年医院感染现患率及变化趋势,为制定医院感染控制措施提供依据。方法:按照卫生部全国医院感染监测网制定的全国医院感染现患率调查方案,分别对2016-2018年住院患者进行医院感染现患率调查,比较3年的调查资料。结果:2016-2018年本院医院感染现患率分别为2.72%、2.37%、2.45%,差异无统计学意义(χ~2=0.418,P>0.05);2016-2018年医院感染现患率最高的科室均为重症医学科(29.73%、16.67%、31.43%)。医院感染部位均以下呼吸道感染为主(51.28%～56.47%)。2016-2018年医院感染病原学送检率分别为67.06%、65.38%、73.61%,差异无统计学意义(χ~2=1.305,P>0.05);抗菌药物使用率分别为34.50%、33.39%、33.69%,差异无统计学意义(χ~2=0.922,P>0.05);治疗用药送检率分别为45.78%、43.45%、48.08%,差异无统计学意义(χ~2=0.319,P>0.05)。结论:医院感染现患率维持在稳定水平,对感染高发科室应重点监控。
Objective:To investigate the prevalence rate of healthcare-associated infection(HAI)and its changes in a certain hospital from 2016 to 2018,so as to provide reference for making HAI control measures.Method:According to the nationwide HAI prevalence survey project established by ministry of health,HAI prevalence rates were investigated from 2016 to 2018,data of three years were compared.Result:The prevalence rate in 2016 to 2018 were 2.72%,2.37% and 2.45% respectively,and there were no significant differences between them( χ~2=0.418,P>0.05).In three years,the highest prevalence rates were all found in Department of Intensive Care Unit(29.73%,16.67%,31.43%).The lower respiratory tract infection was the main infection site of nosocomial infection(51.28%-56.47%).The specimen delivery rate were 67.06%,65.38%,and 73.61%respectively in three years and there were no significant differences between them( χ~2=1.305,P>0.05).Usage rate of antimicrobial agents were 34.50%,33.39%,and 33.69% respectively and the re were no significant differences between them( χ~2=0.922,P>0.05).The rates of bacteria detection in patients who received therapeutic use were 45.78%,43.45% and 48.08% respectively( χ~2=0.319,P>0.05).Conclusion:HAI prevalence rates is maintained at a stable level,and focuses on monitoring high-incidence infection.
Objective:To investigate the prevalence rate of healthcare-associated infection(HAI)and its changes in a certain hospital from 2016 to 2018,so as to provide reference for making HAI control measures.Method:According to the nationwide HAI prevalence survey project established by ministry of health,HAI prevalence rates were investigated from 2016 to 2018,data of three years were compared.Result:The prevalence rate in 2016 to 2018 were 2.72%,2.37% and 2.45% respectively,and there were no significant differences between them( χ~2=0.418,P>0.05).In three years,the highest prevalence rates were all found in Department of Intensive Care Unit(29.73%,16.67%,31.43%).The lower respiratory tract infection was the main infection site of nosocomial infection(51.28%-56.47%).The specimen delivery rate were 67.06%,65.38%,and 73.61%respectively in three years and there were no significant differences between them( χ~2=1.305,P>0.05).Usage rate of antimicrobial agents were 34.50%,33.39%,and 33.69% respectively and the re were no significant differences between them( χ~2=0.922,P>0.05).The rates of bacteria detection in patients who received therapeutic use were 45.78%,43.45% and 48.08% respectively( χ~2=0.319,P>0.05).Conclusion:HAI prevalence rates is maintained at a stable level,and focuses on monitoring high-incidence infection.
引文
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[15]蚁少华,王美容,陈碧贞,等.福建省42所中医院医院感染管理现状调查[J].中国感染控制杂志,2018,17(4):320-324.
[16]张新颖,王占国,杜凤芹,等.某综合三级医院3年医院感染现患率调查分析[J].医学研究与教育,2018,35(4):40-45.
[17]赵志刚,邱添,王凯飞,等.136例医院获得性铜绿假单胞菌血流感染的临床分布特征及耐药性分析[J].中华全科医学,2016,14(8):1269-1271,1321.
[18]陈晓宇.我院患者肺炎克雷伯菌感染分布及耐药性分析[J].江西医药,2018,53(8):845-846,864.
[19]任南,文细毛,吴安华.2014年全国医院感染横断面调查报告[J].中国感染控制杂志,2016,15(2):83-87.
[20]Ansari F,Erntell M,Goossens H,et al.The European surveillance of antimicrobial consumption(ESAC)pointprevalence survey of antibacterial use in 20 European hospitals in2006[J].Clin Infect Dis,2009,49(10):1496-1504.
[21]中华人民共和国国家卫生和计划生育委员会.关于进一步开展全国抗菌药物临床应用专项整治活动的通知[EB/OL](2013-05-07).
[2]周晓平,罗腾达,任阿可,等.某三级传染病专科医院的医院感染现患率调查分析[J].蚌埠医学院学报,2016,41(1):93-95.
[3]张金萍,崔莲,胡晓莉,等.老年病医院感染现患率调查与影响因素分析[J].中华医院感染学杂志,2017,27(8):1775-1779.
[4]张本娜,仝青英,王藩,等.某医院2015年医院感染现患率调查分析[J].中国消毒学杂志,2016,33(6):564-566.
[5]劳一群,曾娟,柳剑,等.2010-2014年医院感染现患率调查分析[J].中华医院感染学杂志,2017,27(2):443-447.
[6]伍世钢,谢文亮,杨飞华.2015-2017年某院住院患者医院感染率及抗菌药物使用情况分析[J].实用医技杂志,2018,25(9):984-986.
[7]尹丹萍,何多多,巩霞,等.某三甲医院2014-2016年医院感染现患率调查分析[J].中华医院感染学杂志,2017,27(6):1405-1408.
[8]翁晓芳,袁艳玲,周爱军,等.一级医疗机构医院感染现患率调查误差分析与改进对策[J].中华医院感染学杂志,2018,28(11):1728-1731.
[9]李小娥,周翠香,王向荣.659例住院患者中医院感染现患率和抗感染药物应用调查[J].长江大学学报(自科版),2015,12(6):59-61.
[10]任冬梅,李德保,田春梅,等.2013-2015年某三级综合医院感染现患率调查分析[J].河南预防医学杂志,2018,29(2):112-114.
[11]曾翠,任南,黄勋,等.湘雅医院15年间医院感染现患率调查[J].中国感染控制杂志,2016,15(6):367-373.
[12]李丽莎,廖晓茹,邱泳波,等.重症医学科院内感染病原菌谱与耐药性分析[J/OL].现代医学与健康研究电子杂志,2018,2(12):116.
[13]高存亮.住院患者医院感染率调查与分析[J].临床医学研究与实践,2017,2(30):112-114.
[14]张继兴.医院感染现状调查分析[J].管理观察,2017(28):164-166.
[15]蚁少华,王美容,陈碧贞,等.福建省42所中医院医院感染管理现状调查[J].中国感染控制杂志,2018,17(4):320-324.
[16]张新颖,王占国,杜凤芹,等.某综合三级医院3年医院感染现患率调查分析[J].医学研究与教育,2018,35(4):40-45.
[17]赵志刚,邱添,王凯飞,等.136例医院获得性铜绿假单胞菌血流感染的临床分布特征及耐药性分析[J].中华全科医学,2016,14(8):1269-1271,1321.
[18]陈晓宇.我院患者肺炎克雷伯菌感染分布及耐药性分析[J].江西医药,2018,53(8):845-846,864.
[19]任南,文细毛,吴安华.2014年全国医院感染横断面调查报告[J].中国感染控制杂志,2016,15(2):83-87.
[20]Ansari F,Erntell M,Goossens H,et al.The European surveillance of antimicrobial consumption(ESAC)pointprevalence survey of antibacterial use in 20 European hospitals in2006[J].Clin Infect Dis,2009,49(10):1496-1504.
[21]中华人民共和国国家卫生和计划生育委员会.关于进一步开展全国抗菌药物临床应用专项整治活动的通知[EB/OL](2013-05-07).