基于医院感染现患率调查的发病率估算研究
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摘要
目的基于某医院感染现患率调查结果估算其发病率,为采取重点干预,降低医院感染发病率提供科学依据。方法回顾性分析某三级甲等医院2018年医院感染现患率的调查数据,采用Rhame and Suddertth公式估算不同科室、不同部位的医院感染发病率。结果医院感染现患率为3.84%,估算发病率为4.57%。重症监护病房的医院感染现患率最高(16.13%),儿科估算的医院感染发病率最高(8.78%)。下呼吸道的医院感染现患率和发病率均居首(2.35%和2.28%)。结论医院感染患病情况调查建议同时报告现患率和估算发病率,提高干预措施的科学性,减少医院感染的发生。
Objective To estimate the incidence of healthcare-associated infection(HAI)based on the survey results of prevalence rate of HAI in a hospital,and provide scientific basis for key interventions to reduce the incidence of HAI.Methods The survey data of HAI prevalence rate in a tertiary first-class hospital in 2018 were retrospectively analyzed,Rhame and Suddertth formula was used to estimate the incidence of HAI in different departments and at different sites.Results Prevalence rate and estimated incidence of HAI were 3.84%and4.57%respectively.Prevalence rate of HAI in intensive care unit was the highest(16.13%),the estimated incidence in department of pediatrics was the highest(8.78%).Prevalence rate and incidence of HAI in lower respiratory tract was the highest(2.35% and 2.28%respectively).Conclusion It is suggested that survey on prevalence and estimated incidence of HAI should be reported at the same time,so as to improve the scientific nature of intervention measures and reduce the occurrence of HAI.
Objective To estimate the incidence of healthcare-associated infection(HAI)based on the survey results of prevalence rate of HAI in a hospital,and provide scientific basis for key interventions to reduce the incidence of HAI.Methods The survey data of HAI prevalence rate in a tertiary first-class hospital in 2018 were retrospectively analyzed,Rhame and Suddertth formula was used to estimate the incidence of HAI in different departments and at different sites.Results Prevalence rate and estimated incidence of HAI were 3.84%and4.57%respectively.Prevalence rate of HAI in intensive care unit was the highest(16.13%),the estimated incidence in department of pediatrics was the highest(8.78%).Prevalence rate and incidence of HAI in lower respiratory tract was the highest(2.35% and 2.28%respectively).Conclusion It is suggested that survey on prevalence and estimated incidence of HAI should be reported at the same time,so as to improve the scientific nature of intervention measures and reduce the occurrence of HAI.
引文
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[6]吴安华,文细毛,李春辉,等.2012年全国医院感染患病率与横断面抗菌药物使用率调查报告[J].中国感染控制杂志,2014,13(1):8-15.
[7]Zarb P,Coignard B,Griskeviciene J,et al.The European Centre for Disease Prevention and Control(ECDC)pilot point prevalence survey of healthcare-associated infections and antimicrobial use[J].Euro Surveill,2012,17(46),pii:20316.
[8]Zingg W,Holmes A,Dettenkofer M,et al.Hospital organisation,management,and structure for prevention of healthcare-associated infection:a systematic review and expert consensus[J].Lancet Infect Dis,2015,15(2):212-224.
[9]孙迎娟,唐一琳,徐桂强,等.住院患者医院感染患病率调查分析[J].中华医院感染学杂志,2017,27(17):3925-3928.
[10]李金梅,李家斌,王进.综合医院医院感染横断面调查分析[J].中华医院感染学杂志,2015,25(1):102-104.
[11]单明真,李德怀,鲍捍东,等.2012-2016年某二级综合医院感染现患率调查分析[J].中华医院感染学杂志,2017,27(18):4110-4113.
[12]任南.实用医院感染监测方法学[M].长沙:湖南科学技术出版社,2012:84-95.
[2]Suetens C,Latour K,Krki T,et al.Prevalence of healthcare-associated infections,estimated incidence and composite antimicrobial resistance index in acute care hospitals and longterm care facilities:results from two European point prevalence surveys,2016to2017[J].Euro Surveill,2018,23(46),doi:10.2807/1560-7917.
[3]中华人民共和国卫生部.医院感染诊断标准(试行)[S].北京,2001.
[4]Rhame FS,Sudderth WD.Incidence and prevalence as used in the analysis of the occurrence of nosocomial infections[J].Am J Epidemiol,1981,113(1):1-11.
[5]杨环,王蓓,姚新宝,等.2014年新疆132所医院医院感染横断面流行病学调查[J].中国感染控制杂志,2015,14(10):676-680.
[6]吴安华,文细毛,李春辉,等.2012年全国医院感染患病率与横断面抗菌药物使用率调查报告[J].中国感染控制杂志,2014,13(1):8-15.
[7]Zarb P,Coignard B,Griskeviciene J,et al.The European Centre for Disease Prevention and Control(ECDC)pilot point prevalence survey of healthcare-associated infections and antimicrobial use[J].Euro Surveill,2012,17(46),pii:20316.
[8]Zingg W,Holmes A,Dettenkofer M,et al.Hospital organisation,management,and structure for prevention of healthcare-associated infection:a systematic review and expert consensus[J].Lancet Infect Dis,2015,15(2):212-224.
[9]孙迎娟,唐一琳,徐桂强,等.住院患者医院感染患病率调查分析[J].中华医院感染学杂志,2017,27(17):3925-3928.
[10]李金梅,李家斌,王进.综合医院医院感染横断面调查分析[J].中华医院感染学杂志,2015,25(1):102-104.
[11]单明真,李德怀,鲍捍东,等.2012-2016年某二级综合医院感染现患率调查分析[J].中华医院感染学杂志,2017,27(18):4110-4113.
[12]任南.实用医院感染监测方法学[M].长沙:湖南科学技术出版社,2012:84-95.