摘要
目的调查医院住院患者医院感染情况,了解医院感控工作现状,为改进院感预防策略和感染管理提供思路。方法选取2021年1月-2021年12月解放军战略支援部队特色医学中心住院患者为研究对象,通过杏林医院感染实时监控系统软件、电子病历管理利用平台,分析医院感染病区分布、部位分布、易感因素构成、导尿管相关尿路感染和医院感染病原菌分布。结果医院2021年出院患者共22224例,感染率2.05%、感染例次率2.24%,漏报率14.25%、漏报例次率13.28%,导尿管使用率达12.37%、导尿管相关尿路感染感染率2.58‰,医院感染部位主要分布在下呼吸道,比例约占46.68%,其次是尿管相关的感染,约为17.51%。医院感染易感因素中高龄所占比例最大,约29.09%,泌尿道插管占比9.13%、中心静脉插管约为7.43%、气管插管4.46%,所有与插管相关的易感因素总和约为26.54%,发生医院感染的15种病原体之间分布无统计学差异。结论预防下呼吸道感染、导尿管相关尿路感染和多药耐药菌感染仍是医院感染工作的重要内容,医院应重视医院感染的发生和控制,降低医院感染发生率。
OBJECTIVE To investigate the prevalence of nosocomial infection among hospitalized patients and understand the current status of control of nosocomial infection so as to improve the prevention strategies and provide guidance for control of infection.METHODS The patients who were hospitalized in PLA Strategic Support Force Medical Center form Jan 2021 to Dec 2021 were recruited as the study subjects.The wards of infection,infection sites,susceptible factors,urinary catheter-related infection and pathogens causing nosocomial infection were analyzed by means of Xinglin hospital infection real-time monitoring system software and electronic medical records management platform.RESULTS A total of 22224 patients were hospitalized in the hospital in 2021,the infection rate was 2.05%,the case-time infection rate was 2.24%,the missing report rate was 14.25%,the missing case-time reporting rate was 13.28%,the utilization rate of urinary catheter was 12.37%,the incidence of urinary catheter-related urinary tract infection was 2.58‰.Among the patients with nosocomial infection,46.68%had lower respiratory tract infection,17.51%had urinary catheter-related infection.Among the susceptible factors for the nosocomial infection,the advanced age accounted for 29.09%,the urinary tract catheterization accounted for 9.13%,the central venous catheterization accounted for 7.43%,the endotracheal intonation accounted for 4.46%,and the all of the susceptible factors that were associated with the catheterization accounted for 26.54%in total.There was no significant difference in the distribution among the 15 species of pathogens causing nosocomial infection.CONCLUSION The control of nosocomial infection should focus on the prevention of lower respiratory tract infection,urinary catheter-related urinary tract infection and multidrug-resistant organisms infections.It is necessary for the hospital to pay great attention to the incidence and control of nosocomial infection so as to reduce the incidence of nosocomial infection.
作者
牛淑利
李新楼
潘春江
朱琳
冉素平
NIU Shu-li;LI Xin-lou;PAN Chun-jiang;ZHU Lin;RAN Su-ping(PLA Strategic Support Force Medical Center,Beijing 100101,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2022年第22期3487-3492,共6页
Chinese Journal of Nosocomiology
基金
国家环境保护环境感官应激与健康重点实验室开放基金资助项目(19ZX83)
军委后勤保障部卫生局生物安全能力建设计划基金资助项目(145AHQ08005005X)。
关键词
医院感染
现况
病原学
流行病学
下呼吸道
导尿管相关尿路感染
多药耐药菌
Nosocomial infection
Prevalence
Etiology
Epidemiology
Lower respiratory tract
Urinary catheter-related urinary tract infection
Multidrug-resistant organism
