摘要
目的了解山东省某三甲综合医院连续10年医院感染现况及医院感染变化趋势,发现医院感染防控问题,为科学防控提供循证依据。方法采用横断面调查的方法,对2013-2022年日照市人民医院某调查日所有住院患者进行统一调查,采用SPSS25.0统计学软件对数据进行分析。结果2013-2022年共调查17848例住院患者,发生医院感染444人次、457例次,现患例次率在2.03%~3.48%波动,不同年份的医院感染现患例次率差异无统计学意义(χ^(2)=14.570,P=0.103);医院感染发生部位主要为下呼吸道,平均占比达61.84%,不同年份间感染部位分布差异无统计学意义(H=1.307,P=0.998);感染病原菌以革兰阴性菌为主,172株占69.92%,主要包括肺炎克雷伯菌、鲍氏不动杆菌、大肠埃希菌、铜绿假单胞菌;抗菌药物使用率为27.18%,有逐年上升趋势,抗菌药物使用以治疗及单联为主,抗菌药物治疗前病原学送检率为59.50%,不同年份的抗菌药物治疗前病原学送检率差异有统计学意义(χ^(2)=24.970,P=0.003)。结论该医院医院感染现患率整体呈相对稳定水平,抗菌药物使用前病原学送检率呈逐年提升趋势,合理使用抗菌药物仍是现阶段医院感染控制工作的重点。
OBJECTIVE To analyze the current situation and trend of nosocomial infection in in a tertiary grade-A general hospital in Shandong Province for 10 consecutive years,and find out the problems of nosocomial infection prevention and control,so as to provide evidence for the scientific prevention and control.METHODS A cross-sec-tional survey was conducted on all hospitalized patients in the People's Hospital of Rizhao on survey days from 2013 to 2022,and SPSS 25.0 statistical software was used to analyze the data.RESULTS A total of 17848 inpatients from 2013 to 2022 were investigated,and 444 person-times and 457 cases of nosocomial infection oc-curred.The current case rate fluctuated between 2.03%and 3.48%.There was no significant difference in the current case rate of hospital infection among different years(χ^(2)=14.570,P=0.103).The main site of nosocomial infection was lower respiratory tract,accounting for 61.84%on average.There was no significant difference in the distribution of infection sites among different years(H=1.307,P=0.998);The main pathogens of infection were gram-negative bacteria(172),accounting for 69.92%,mainly including Klebsiella pneumoniae.Acineto-bacter baumannii,Escherichia coli and Pseudomonas aeruginosa.The antibiotic use rate was 27.18%,with a trend of increasing year by year.The antibacterial drugs was used mainly in single-agent therapy.The rate of pathogen examination before administration of antibacterial drugs was 59.50%.The difference in the rate of patho-gen examination before treatment of antibacterial drugs in different years was statistically significant(χ^(2)=24.970,P=0.003).CONCLUSION The overall prevalence rate of nosocomial infection in the hospital is relatively stable,and the rate of pathogenic examination before the use of antibacterial drugs is increasing year by year.The rational use of antibacterial drugs is still the focus of nosocomial infection control at this stage.
作者
孙志桂
李霞
穆庆娜
王佳
张玲
丁艳
SUN Zhi-gui;LI Xia;MU Qing-na;WANG Jia;ZHANG Ling;DING Yan(The People's Hospital of Rizhao,Rizhao,Shandong 276800,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2024年第7期1111-1115,共5页
Chinese Journal of Nosocomiology
关键词
现患率
医院感染
抗菌药物
病原学
医院感染防控
Prevalence rate
Nosocomial infectionAntimicrobial drugs
Pathogen
Hospital infection prevention and control
