摘要
目的比较床旁调查与查阅病历相结合的方式(简称人工调查)和医院感染实时监控系统调查法(简称RT-HAI调查)进行医院感染现患率调查的结果,为改善现患率调查方法,提高调查质量提供参考。方法 2014-2016年,某院应用横断面调查理论,分别采用人工调查和RT-HAI调查两种方法进行现患率调查,并对调查结果进行统计学分析。结果2014-2016年,共调查住院患者4 821例,人工调查法所得医院感染现患率依次为3.98%、3.94%和3.61%,RT-HAI调查法所得医院感染现患率依次为4.35%、4.63%和4.14%,同年度两种方法所得医院感染现患率比较,差异均无统计学意义(均P>0.05)。经感控专家组分析讨论,2014-2016年现患率调查当日实际医院感染病例依次为70、68和75例,现患率依次为4.22%、4.70%和4.37%。人工调查结果和RT-HAI调查结果与同年度调查当日实际医院感染情况的一致性均较好,有统计学意义(均P<0.05)。RT-HAI调查的灵敏度、Youden指数、总的符合率、比数积均高于人工调查,漏诊率低于人工调查。结论 RT-HAI调查方法更有利于提高医院感染监测水平。
Objective To compare results of healthcare -associated infection(HAI) prevalence rate survey conducted through bedside survey and medical records consulting (referred to as manual survey) and HAI real-time monitoring system (referred to as RT-HAI survey), so as to provide reference for improving the investigation method and quality of HAI. Methods From 2014 to 2016, according to cross-sectional survey theory, prevalence rate of HAI in a hospital was investigated by manual survey and RT-HAI survey methods respectively, results were analyzed statistically. Results From 2014 to 2016, a total of 4 821 inpatients were investigated, the prevalence of HAI by manual survey were 3.98%, 3.94% and 3.61% respectively, prevalence of HAI by RT-HAI survey were 4.35%, 4.63 % and 4.14% respectively, there was no significant difference in the prevalence of HAI between two methods in the same year (all P >0.05). After analyzed and discussed by HAI control expert group, the actual number of HAI on the survey day from 2014 to 2016 were 70, 68 and 75 cases respectively, with the prevalence rates of 4.22 %, 4.70% and 4.37% respectively. Manual survey result and RT-HAI survey result were highly consistent with actual HAI on the same day of the annual survey, with statistical significance (all P <0.05). The sensitivity, Youden index, total coincidence rate and odd product of RT-HAI survey were all higher than those of manual survey, missed diagnosis rate was lower than that of manual survey. Conclusion RT-HAI is advantageous to improve HAI surveillance level.
作者
郑东春
李静玫
张岩东
左玥
贾辰
段利平
李海峰
ZHENG Dong-chun;LI Jing-mei;ZHANG Yan-dong;ZUO Yue;JIA Chen;DUAN Li-ping;LI Hai-feng(Department of Healthcare -associated Infection Control, General Hospital of Northern Theater Command, Shenyang 110016, China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2019年第8期746-750,共5页
Chinese Journal of Infection Control
关键词
医院感染
现患率
实时监控系统
调查
healthcare -associated infection
prevalence rate
real-time surveillance system
survey
