Abstract:ObjectiveTo investigate the current situation of healthcareassociated infection(HAI)in hospitals in Yunnan Province in 2015, and provide basis for formulating HAI control measures. MethodsA crosssectional survey on HAI prevalence rate , antimicrobial use,and pathogenic detection in 116 hospitals in Yunnan Province were conducted by combined methods of bedside 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 gramnegative 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 crosssectional survey on prevalence of HAI is helpful for understanding the current status of HAI, calculation of the percentile distribution of each index can promote selfevaluation for HAIrelated work in each hospital.
[Key words]healthcareassociated infection; crosssectional survey; prevalence rate; antimicrobial agent; pathogen