Survey and Analysis of the Prevalence Rate of Hospital Infection in Two Continuous Years_West China Medical Journal

Authors：

 ZHANGJu , YANGJun-hua , LIUYu-miao , CHENYong

Department of Nosocomial Infection Management, the First People's Hospital of Longquanyi District, Chengdu, Sichuan 610100, P. R. China;

Corresponding?author：

Keywords：

Hospital infection; Prevalence rate; Antibacterial

DOI：

10.7507/1002-0179.20140087

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Objective To explore the variation tendency of hospital infection and the antibacterial usage between 2011 and 2012,analyze the factors for hospitalization infection,and instruct on taking effective intervention measures,in order to reduce the rate of hospital infection,and thus to provide a scientific basis for the prevention and control of hospital infection. Methods All patients hospitalized in our hospital from 00:00 to 24:00 between September 21,2011 and August 16,2012 were investigated.By using the method of combined clinical investigation and case study,we asked the patients to fill the case questionnaires standardly,and analyzed the hospital infection cases on the survey day. Results A total of 1165 hospitalized patients were investigated from the year 2011 to 2012,and the actual check rate was 100%.A total of 46 cases of hospital infection occurred in 39 patients.The prevalence rate of hospital infection was 3.88% in 2011 and 2.80% in 2012.High rate hospital infections occurred in the Department of Neurosurgery which was 27.27% and Cardiothoracic surgery which was 16.67% in 2011.In 2012,the departments included ICU which was 28.57% and Internal Cardiovascular Medicine which was 9.09%.The main infection sites were respiratory tract,followed by urinary tract and superficial incisions.The usage rates of antibiotics were 63.07% and 40.56% respectively in the two years.There were significant difference in antibiotic use rate between the two years (P<0.01). Conclusion The focus of future work is to strengthen the management of respiratory tract,urinary tract and surgical site infections,and to use antimicrobial drugs reasonably,in order to reduce hospital infection effectively.

Citation： ZHANGJu, YANGJun-hua, LIUYu-miao, CHENYong. Survey and Analysis of the Prevalence Rate of Hospital Infection in Two Continuous Years. West China Medical Journal, 2014, 29(2): 286-288. doi: 10.7507/1002-0179.20140087 Copy

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1. 中華人民共和國衛生部.WS/T 312-2009醫院感染監測規范[S].2009.
2. 中華人民共和國衛生部.醫院感染診斷標準(試行)[J].中華醫學雜志,2001,81(5):314-320.
3. 陳勇群,孔莉,陳美利,等.490例住院患者醫院感染現患率調查與分析[J].中華醫院感染學雜志,2013,23(5):986-988.
4. 陳蓉,侯麗,周瑩.2012年綿陽第三人民醫院醫院感染現患率調查分析[J].華西醫學,2013,28(8):1152-1154.
5. 劉小麗,梁建生,鄧兵,等.武漢地區醫院感染現患率調查分析[J].中華醫院感染學雜志,2012,22(22):4992-4994.
6. 吳小燕,戰榕,曾邦偉,等.福建116所醫院醫院感染與社區感染現患率調查[J].中國感染控制雜志,2011,10(3):181-184.
7. 陳萍,劉丁,王豪,等.重慶地區醫院感染現患率調查分析[J].重慶醫學,2011,40(36):3660-3661,3664.
8. 蔣述科,李春鳳,徐鏞男,等.現患率調查與全面綜合性監測結果對比分析[J].中華醫院感染學雜志,2010,20(21):3292-3294.
9. 喬甫,宗志勇.監測在醫院感染預防與控制中的作用[J].華西醫學,2013,28(8):1145-1148.
10. 饒思友,余奇,徐珍,等.2006-2010年我院醫院感染現患率調查分析[J].南昌大學學報·醫學版,2011,51(1):77-80,82.
11. 魏海英,姜夢香,王兆霞,等.醫院感染現患率調查與分析[J].中華醫院感染學雜志,2013,23(5):983-985.
12. 姚惠,秦穎,謝金蘭,等.2011年醫院感染現患率調查與分析[J].中華醫院感染學雜志,2013,23(5):989-1014.
13. 孫善華,倪國珍.醫院感染現患率調查分析[J].中華醫院感染學雜志,2012,22(10):2026-2028.
14. 劉歐,劉穎,黃曉嶺,等.1097例患者醫院感染現患率調查與分析[J].中華醫院感染學雜志,2012,22(10):2029.
15. Lemmen SW,Becker G,Frank U,et al.Influence of an infectious disease consulting service on quality and costs of antibiotic prescriptions in a university hospital[J].Scand Infect Dis,2001,33(3):219-221.

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Survey and Analysis of the Prevalence Rate of Hospital Infection in Two Continuous Years

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