摘要
目的对贵州省118所医院医院感染质量控制指标进行调查和分析,了解贵州省二级以上医疗机构医院感染基本情况与发生特点,指导各级医院的医院感染防控。方法采用调查表格形式,对118所医疗机构2014年1月1日-9月30日医院感染相关质控指标进行收集。结果共调查在院患者52 531例,发生医院感染1 175例,感染率2.24%;51 441例住院患者抗菌药物使用、预防用药、治疗用药平均使用率分别为39.24%、27.27%和72.73%,治疗使用抗菌药物标本送检率37.54%;调查手术8 119例,术后切口感染率2.50%,术后肺部感染率0.71%;调查78所开展重点部位目标监测医院留置尿管相关泌尿系感染率、呼吸机相关肺炎感染率、中心静脉置管相关血流感染率分别为2.54‰、7.62‰、1.12‰;将二、三级医院各指标进行比较,其中治疗使用抗菌药物标本送检率、术后切口感染率、呼吸机相关肺炎感染率、中心静脉置管相关血流感染率的差异均有统计学意义(P<0.05)。结论本调查掌握了贵州省二级以上医疗机构医院感染的基本情况,发现了不同级别医院的医院感染特点和差异,为指导各级各类医院针对性地做好医院感染防控工作提供了科学依据。
OBJECTIVE To investigate the quality control indicators for healthcare-associated infections（HAI）in118hospitals of Guizhou province and understand the basic situation and characteristics of the HAI in class II or higher rated hospitals so as to provide guidance for control of the HAI.METHODS The related quality control indicators or the HAI were collected from 118 medical institutions from Jan 1,2014 to Sep 30,2014 through information survey.RESULTS Of totally 52 531 hospitalized patients investigated,1 175 patients had the hospital-associated infections,with the infection rate 2.24%.The average rate of use of antibiotics,rate of prophylactic use of antibiotics,and rate of therapeutic use of antibiotics of the 51 441 hospitalized patients were 39.24%,27.27%,and 72.73%,respectively;the submission rate of specimens was 37.54%for the therapeutic use of antibiotics.Among 8 119 patients who received surgical procedures,the incidence of postoperative incision infections was 2.50%,and the incidence of postoperative pulmonary infections was 0.71%.Among 78 hospitals in which the targeted surveillance of key sites was conducted,the incidence rates of catheter-related urinary system infections,ventilator-associated pneumonia,and central venous catheter-related bloodstream infections were 2.54‰,7.62‰,and 1.12‰,respectively.There was significant difference in the submission rate of specimens for therapeutic use of antibiotics,incidence of postoperative incision infections,incidence of ventilator-associated pneumonia,or incidence of central venous catheter-related bloodstream infections between the secondary hospitals and the tertiary hospitals（P〈0.05）.CONCLUSIONThe survey facilitates the understanding of the basic situation of hospital-associated infection in class II or higher rated hospitals in Guizhou province and find out the chatacteistics and differences of the hospital-associated infection in the different grades of hositals so as to provide scientific basis for control of the hospital-associated infect
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第17期4073-4076,共4页
Chinese Journal of Nosocomiology
基金
贵州省科技厅社会公关计划基金资助项目(黔科合SY字2013-3176)
关键词
医院感染
质量控制指标
预防与控制
Hospital-associated infection
Quality control indicator
Prevention and control
