王清青;查筑红;程永素;黄冰;王平;王敏;冷应蓉;罗光英;李凌竹;
WANG Qingqing;ZHA Zhuhong;CHANG Yongsu;HUANG Bing;WANG Ping;WANG Min;LANG Yingrong;LUO Guangying;LI Lingzhu;Department of Nosocomial Infection Control,the Affiliated Hospital of Guizhou Medical University;

• 1:贵州医科大学附院医院感染管理科

摘要(Abstract)：

目的:了解贵州省某三级甲等医院的医院感染现状,为制定有效的监控措施提供依据。方法:采用横断面调查方法,对贵州省某三级甲等医院2013年9月1日~9月6日所有住院患者进行调查,统计医院感染现患率、例次现患率及医院感染发生科室、抗菌药物使用情况及医院感染患者病原体送检情况,并统计侵袭性操作和外科手术患者发生医院感染情况。结果:调查住院患者1904人,医院感染现患率为4.67%,例次现患率为4.73%,其中以内科重症监护病房最高(53.8%);医院感染部位以下呼吸道感染居首位(42.2%),抗菌药物使用率为35.1%,其中一联药物使用率79.4%,治疗用药患者病原菌送检率为50.1%;侵袭性操作患者医院感染以呼吸机相关性肺炎发生率最高(3.4%),I类手术切口感染率为2.5%。结论:医院感染的主要科室是重症监护病房,主要部位是呼吸道,需进一步加强高危科室监测与管理,控制医院感染发生。
Objective: To investigate the current status of nosocomial infection in a 3rd grade class A hospital,and provide a basis for making effective monitoring measures. Methods: The cross-sectional survey was adopted to collect data from all inpatients who were hospitalized from September 1st,2013 to September 6th,2013. The infection prevalence rate and case infection prevalence rate were counted.Department of hospital infection,antibiotics usage information and detection rate of pathogen were observed or investigated. Invasive operation and nosocomial infection in surgical patients were also observed statistically. Results: Totally 1 904 inpatients were investigated,of whom infection prevalence rate was 4. 67%,case infection prevalence rate was 4. 73%,and the highest prevalence rate( 53. 8%)occurred in medical intensive care unit. In terms of infection site,lower respiratory tract infection stood first on the list( 42. 2%). The average antimicrobial usage rate were 35. 1%,of which the rate of single antimicrobial usage was 79. 4%. The detection rate of pathogen was 50. 1%. In terms of infection caused by invasive operation,the infection rate of ventilator-associated pneumonia( 3. 4%) was the highest,and the infection rate of type I surgical incision was 2. 5%. Conclusion: The departments of high infection rates were the ICU,and the major infection sites were the respiratory tract. It is necessary to strengthen the monitoring and management of high-risk departments and control nosocomial infection.

关键词(KeyWords)： 医院感染;横断面调查;现患率;抗生素类;手术切口
nosocomial infection;cross-sectional study;prevalence rate;antibiotics;surgical incision

Abstract:

Keywords:

基金项目(Foundation): 贵州医科大学附院博士启动基金

作者(Author): 王清青;查筑红;程永素;黄冰;王平;王敏;冷应蓉;罗光英;李凌竹;
WANG Qingqing;ZHA Zhuhong;CHANG Yongsu;HUANG Bing;WANG Ping;WANG Min;LANG Yingrong;LUO Guangying;LI Lingzhu;Department of Nosocomial Infection Control,the Affiliated Hospital of Guizhou Medical University;

Email:

DOI: 10.19367/j.cnki.1000-2707.2015.09.013

参考文献(References)：

• [1]Rosenthal VD,Maki DG,Mehta Y,et al.International Nosocomial Infection Control Consortium(INICC)report,data summary of 43 countries for 2007-2012.Deviceassociated module[J].Am J Infect Control,2014(9):942-956.
• [2]中华人民共和国卫生部.医院感染诊断标准(试行)[S].北京:2001.
• [3]Magill SS,Hellinger W,Cohen J,et al.Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville,Florida[J].Infect Control Hosp Epidemiol,2012(3):283-291.
• [4]Rongrungruang YI,Sawanpanyalert N,Chomdacha P,et al.Health-care associated infections in Thailand 2011[J].J Med Assoc Thai,2013(Suppl 2):117-123.
• [5]吴安华,任南,李春辉,等.2012年全国医院感染现患率与横断面抗菌药物使用率调查报告[J].中华医院感染学杂志,2014(1):8-15.
• [6]徐秀莉,聂渝莉,吴小燕,等.三级综合教学医院医院感染横断面调查结果分析[J].中华医院感染学杂志,2014(21):5282-5284.
• [7]Lanini S,Jarvis WR,Nicastri E,et al.Healthcare-associated infection in Italy:annual point-prevalence surveys,2002-2004[J].Infect Cont Hosp Epidemiol,2009(7):659-665.
• [8]Xie DS,Fu XY,Wang HF,et al.Annual point-prevalence of healthcare-associated infection surveys in a university hospital in China,2007-2011[J].J Infect Public Health,2013(6):416-422.
• [9]Xie DS,Xiong W,Xiang LL,et al.Point prevalence surveys of healthcare-associated infection in 13 hospitals in Hubei Province,China,2007-2008[J].J Hosp Infect,2010(2):150-155.
• [10]Murni IK,Duke T,Kinney S,et al.Reducing hospitalacquired infections and improving the rational use of antibiotics in a developing country:an effectiveness study[J].Arch Dis Child,2015(5):454-459.
• [11]Lemmen SW.Becker G,Frank U,et al.Influence of an infectious disease consulting service on quality and costs of antibiotic prescriptions in a university hospital[J].Scand Infect Dis,2001(3):219-221.
• [12]Dampis U,Baloe A,Vigante D,et al.Prevalence of nosocomial infection in two Lativan hospitals[J].Euro Surveillance,2003(3):73-78.

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