2015年云南省116所医院医院感染横断面调查
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方旭

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R181.3+2

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Crosssectional survey on healthcareassociated infection in 116 hospitals of Yunnan Province in 2015
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    摘要:

    目的了解云南省2015年医院感染现状,为制订医院感染预防与控制措施提供依据。方法采用床旁调查和病历调查相结合的方法,调查云南省116所医院医院感染现患率、抗菌药物使用情况及病原学送检情况。结果共调查住院患者64 386例,发生医院感染1 357例,1 476例次,医院感染现患率为2.11%,例次现患率为2.29%。不同床位数医院医院感染现患率、抗菌药物使用率和治疗使用抗菌药物病原学送检率比较,差异均有统计学意义(均P<0.01)。医院感染居前3位的科室依次为重症监护病房(20.99%)、烧伤科(8.00%)及血液科(7.34%);感染部位以下呼吸道为主(占42.68%);医院感染病原菌以革兰阴性菌为主(占69.28%),主要为大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌等。调查日抗菌药物使用率为35.62%,治疗性使用抗菌药物病原学送检率为59.56%。结论本次医院感染横断面调查有助于了解全省医院感染现况,计算出各指标的百分位数分布,便于各医院进行医院感染相关工作的自我评价。

    Abstract:

    ObjectiveTo investigate the current situation of healthcareassociated infection(HAI)in hospitals in Yunnan Province in 2015, and provide basis for formulating HAI control measures. MethodsA crosssectional survey on HAI prevalence rate , antimicrobial use,and pathogenic detection in 116 hospitals in Yunnan Province were conducted by combined methods of bedside survey and medical record reviewing. ResultsA total of 64 386 hospitalized patients participated in the survey, the prevalence rate of HAI was 2.11%(n=1 357), and case prevalence rate was 2.29%(n=1 476).  Difference in prevalence rates of HAI, antimicrobial usage rates, and pathogenic  detection among hospitals of different beds were all significant(all  P <0.01).  The top 3 departments of HAI distribution were intensive care units(20.99%), burn departments(8.00%), and hematology departments (7.34%) ; the main infection site was lower respiratory tract(42.68%);  HAI mainly caused by gramnegative bacteria(69.28%), the major were Escherichia coli , Klebsiella pneumoniae, and Pseudomonas aeruginosa. Antimicrobial usage rate at the survey day was 35.62 %, bacterial detection rate in patients receiving therapeutic antimicrobial use was 59.56%.  ConclusionThe crosssectional survey on prevalence of HAI is helpful for understanding the current status of HAI, calculation of the percentile distribution of each index can promote selfevaluation for HAIrelated work in each hospital.
    [Key words]healthcareassociated infection; crosssectional survey; prevalence rate; antimicrobial agent; pathogen

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方旭, 杨滢, 卯升嫚,等.2015年云南省116所医院医院感染横断面调查[J]. 中国感染控制杂志,2017,16(5):439-443. DOI:10.3969/j. issn.1671-9638.2017.05.010.
FANG Xu, YANG Ying, MAO Shengman, et al. Crosssectional survey on healthcareassociated infection in 116 hospitals of Yunnan Province in 2015[J]. Chin J Infect Control, 2017,16(5):439-443. DOI:10.3969/j. issn.1671-9638.2017.05.010.

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  • 收稿日期:2016-06-14
  • 最后修改日期:2016-08-22
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  • 在线发布日期: 2017-05-26
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