2016—2020年武汉市医院感染横断面调查结果趋势研究
作者:
作者单位:

1.武汉市疾病预防控制中心消毒与病媒生物防制所, 湖北 武汉 430024;2.武汉市医院感染管理质量控制中心, 湖北 武汉 430024;3.武汉市现场流行病学培训项目, 湖北 武汉 430024;4.武汉市蔡甸区疾病预防控制中心传染病防制科, 湖北 武汉 430100

作者简介:

宋育为共同第一作者。

通讯作者:

刘小丽  E-mail: 39670411@qq.com

中图分类号:

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基金项目:

湖北省卫生健康科研基金项目(WJ2021F008)


Trend of cross-sectional survey results of healthcare-associated infection in Wuhan City from 2016 to 2020
Author:
Affiliation:

1.Department of Disinfection and Pest Control, Wuhan Center for Disease Control and Prevention, Wuhan 430024, China;2.Wuhan Center for Healthcare-associated Infection Management Quality Control, Wuhan 430024, China;3.Wuhan Field Epidemiological Training Project, Wuhan 430024, China;4.Department of Infectious Disease Prevention and Control, Wuhan Caidian District Disease Prevention and Control Center, Wuhan 430100, China

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    摘要:

    目的 了解武汉市医疗机构医院感染和社区感染现状, 分析医院感染的流行趋势与管理重点。 方法 采用病历调查和床旁调查相结合的方法, 按照全国医院感染监控管理培训基地制定的全国医院感染横断面调查表进行调查, 分析2016、2018、2020年的调查数据。 结果 2016、2018、2020年武汉市医院感染现患率分别为2.66%、2.21%、1.85%, 社区感染现患率分别为17.81%、17.82%、16.29%, 均呈下降趋势(均P<0.05)。医院感染现患率较高的科室为综合重症监护病房(ICU)、血液病科(组)、神经外科、胸外科、儿科新生儿组; 社区感染现患率较高的科室为儿科非新生组、呼吸科(组)、感染病科(组)、综合ICU、儿科新生儿组。医院感染、社区感染感染部位均以下呼吸道为主, 其中2016、2018、2020年术后下呼吸道医院感染构成比分别为12.85%、18.39%、22.09%。2016、2018、2020年手术部位医院感染现患率分别为0.99%、0.82%、0.69%。医院感染、社区感染病原体均以革兰阴性菌为主。 结论 2016、2018、2020年武汉市医疗机构医院感染管理取得了较好的成效, 但综合ICU、下呼吸道医院感染等问题仍需在后期工作中强化改进。

    Abstract:

    Objective To understand the current situation of healthcare-associated infection (HAI) and community-associated infection (CAI) in medical institutions in Wuhan City, and analyze the epidemic trend and key management of HAI. Methods The combination of medical record and bedside survey was adopted to conduct a survey according to the table of cross-sectional survey formulated by National HAI Monitoring and Management Training Base. Survey data from 2016, 2018, and 2020 were analyzed. Results HAI prevalence rates in Wuhan City in 2016, 2018, and 2020 were 2.66%, 2.21%, and 1.85%, respectively. CAI prevalence rates were 17.81%, 17.82%, and 16.29%, respectively. Both showed decreasing trends (both P < 0.05). Departments with high pre-valence rates of HAI were the intensive care unit (ICU), departments (groups) of hematology, neurosurgery, thoracic surgery, and pediatric neonatal. Departments with high prevalence rates of CAI were the departments (groups) of pediatric non-neonatal, respiratory diseases, infectious diseases, general ICU, and pediatric neonatal. The main infection sites of HAI and CAI were lower respiratory tract. The proportions of postoperative HAI at lower respiratory tract in 2016, 2018, and 2020 were 12.85%, 18.39%, and 22.09%, respectively. HAI rates at surgical site in 2016, 2018, and 2020 were 0.99%, 0.82%, and 0.69%, respectively. HAI and CAI were mainly caused by Gram-negative bacteria. Conclusion The management of HAI in medical institutions in Wuhan City in 2016, 2018, and 2020 have made achievements. However, infection control in general ICU and of HAI at lower respiratory tract still need to be strengthened and improved.

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引用本文

刘小丽,宋育,龚林,等.2016—2020年武汉市医院感染横断面调查结果趋势研究[J]. 中国感染控制杂志,2024,23(2):175-181. DOI:10.12138/j. issn.1671-9638.20244706.
Xiao-li LIU, Yu SONG, Lin GONG, et al. Trend of cross-sectional survey results of healthcare-associated infection in Wuhan City from 2016 to 2020[J]. Chin J Infect Control, 2024,23(2):175-181. DOI:10.12138/j. issn.1671-9638.20244706.

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  • 收稿日期:2023-07-11
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  • 在线发布日期: 2024-04-28
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