信息化平台构建在提升血培养送检率中的应用效果
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R197.323.4

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Application effect of information platform construction in improving blood culture detection rate
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    摘要:

    目的 探讨信息化平台构建及综合干预措施对提升血培养病原学送检率的效果。方法 选取2023年1月—2025年7月湖南省某哨点医院使用抗菌药物治疗的住院患者为研究对象。2023年1—5月为干预前期,实施信息化平台构建及综合干预措施后的2023年6—12月、2024年1—7月、2024年8月—2025年7月分别为干预后第一阶段、第二阶段、第三阶段,比较4个阶段住院患者血培养送检相关指标。同时,比较新增功能模块前后3个阶段两个重要送检指征的血培养送检率。结果 干预前后住院患者血培养送检数量、血培养规范(双侧双瓶)送检比率、血培养标本在微生物培养标本中占比、血培养阳性率4个指标均呈逐渐上升趋势,差异均有统计学意义(均P<0.001),分别提升至干预后第三阶段的0.99(瓶/床·月)、54.24%、36.35%、12.68%。新增功能模块后两个重要送检指征的血培养送检率分别提升至96.05%和79.09%,差异均有统计学意义(均P<0.001)。结论 实施信息化平台构建和功能的持续再开发,并结合综合干预措施,可持续有效提升血培养等病原学送检率。

    Abstract:

    Objective To explore the effect of information platform construction and comprehensive intervention measures on improving pathogen detection rate of blood culture. Methods Hospitalized patients who received antimicrobial agents at a sentinel hospital in Hunan Province from January 2023 to July 2025 were selected as the research subjects. January-May 2023 was pre-intervention stage. After implementing the construction of information platform and comprehensive intervention measures, June-December 2023, January-July 2024, and August 2024-July 2025 were the first, second, and third stages of post-intervention, respectively. Blood culture detection-related indicators of hospitalized patients in 4 stages were compared. Blood culture detection rates for two important detected indicators in three stages before and after the addition of the new functional module were compared. Results After intervention, 4 indicators (the amount of blood culture detection, detection rate of standard blood culture [bilateral double bottle], proportion of blood culture specimens in microbial culture specimens, and blood culture positive rate) of hospitalized patients all showed gradually increasing trend, with statistical difference (all P<0.001). In the third stage after intervention, these indicators increased to 0.99 (bottle/bed·month), 54.24%, 36.35%, and 12.68%, respectively. After the addition of the new functional module, blood culture detection rates for two important indicators increased to 96.05% and 79.09%, respectively, both with statistically significant differences (both P<0.001). Conclusion The implementation of construction and continuous function re-development of the information platform, combined with comprehensive intervention measures, can sustainably and effectively improve the pathogen detection rate of blood culture.

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王虹,彭丽华,陈冰玉,等.信息化平台构建在提升血培养送检率中的应用效果[J]. 中国感染控制杂志,2026,25(3):414-420. DOI:10.12138/j. issn.1671-9638.20263059.
WANG Hong, PENG Lihua, CHEN Bingyu, et al. Application effect of information platform construction in improving blood culture detection rate[J]. Chin J Infect Control, 2026,25(3):414-420. DOI:10.12138/j. issn.1671-9638.20263059.

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  • 收稿日期:2025-10-20
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  • 在线发布日期: 2026-03-27
  • 出版日期: 2026-03-28