Investigation and Analysis on the Nosocomial Infection in 1 621 Hospitalized Patients with Acute and Serious Schizophrenia_West China Medical Journal

Authors：

 LIShui-ying , ZHOUQian , ZHANGXiu-ying , WANGQiang ,  SHENWen-wu

Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

SHENWen-wu, Email: wenwu_shen@163.com

Keywords：

Nosocomial infection; Schizophrenia; Risk factors

DOI：

10.7507/1002-0179.20140624

Video：

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Objective To investigate the incidence of nosocomial infection in acute and serious schizophrenic inpatients and its risk factors. Methods Between January 1st and December 31st, 2012, we investigated 1 621 schizophrenic patients on the status of nosocomial infections according to the hospital standard of nosocomial infection diagnosis. They were divided into infected group and uninfected group according to the survey results. The risk factors were analyzed by logistic regression method. Results Twenty-nine infected patients were found among the 1 621 patients, and the incidence rate was 1.79%. Among the nosocomial infections, the most common one was respiratory infection (79.31%), followed by gastrointestinal infection and urinary infection (6.90%). There were significant differences between the two groups of patients in age, hospital stay, positive and negative syndrome scale (PASS), combined somatopathy, the time of protective constraint, modified electraconvulsive therapy (MECT), using two or more antipsychotics drugs, using antibiotics and side effects of drugs (P<0.05). However, there were no statistical differences in gender, age classes, the course of disease, frequency of hospitalization and seasonal incidence of hospital infection (P>0.05). The results of multivariate analysis showed that hospital stay, positive symptom score, negative symptom score, the time of protective constraint, MECT, using two or more antipsychotics drugs and side effects of drugs were the main risk factors for nosocomial infection of inpatients with psychopathy (P<0.05). Conclusion Based on the different traits and treatments of acute and serious schizophrenia, a screening table of infections should be set. For the high risk group of nosocomial infection, effective measures should be taken to prevent and control the nosocomial infection of patients with schizophrenia.

Citation： LIShui-ying, ZHOUQian, ZHANGXiu-ying, WANGQiang, SHENWen-wu. Investigation and Analysis on the Nosocomial Infection in 1 621 Hospitalized Patients with Acute and Serious Schizophrenia. West China Medical Journal, 2014, 29(11): 2073-2076. doi: 10.7507/1002-0179.20140624 Copy

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1. 傅小芳, 張繼東, 黃佳荃, 等. 醫院感染引起醫療損害責任認定及對策[J]. 中國醫院, 2011, 15(3):58-59.
2. 張淑平, 譚慕楊. 風險管理在醫院感染管理中的應用與效果分析[J]. 華西醫學, 2012, 27(1):129-131.
3. Klevens RM, Edwards JR, Richards CL, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002[J]. Public Health Rep, 2007, 122(2):160-166.
4. 潘利, 楊玲花. 精神分裂癥醫院感染的特點及控制方法[J]. 中國民康醫學, 2010, 22(23):3062-3064.
5. 于云彩. 精神病專科醫院醫院感染橫斷面調查結果的變化趨勢研究[J]. 現代預防醫學, 2010, 37(6):1060-1061.
6. 程敏鋒, 溫盛霖, 魏欽令. 綜合醫院精神科住院患者醫院獲得性肺炎的臨床分析[J]. 中華醫院感染學雜志, 2011, 21(15):3162-3163.
7. 李運蓮. 精神科住院患者醫院感染現狀分析[J]. 中國民康醫學, 2010, 22(17):2210-2212.
8. 陳正平, 陳曉華, 王順銓. 保護性約束精神病患者醫院感染研究[J]. 中華醫院感染學雜志, 2007, 17(12):1523-1524.
9. 王順銓, 陳曉華, 金正. 無抽搐電休克治療精神病患者醫院感染研究[J]. 中華醫院感染學雜志, 2010, 20(2):215-216.
10. 周東升, 徐銀兒, 宋平, 等. 住院精神病患者感染性腹瀉影響因素病例對照研究[J]. 中華醫院感染學雜志, 2012, 22(13):2833-2835.
11. 中華人民共和國衛生部. 醫院感染診斷標準(試行)[EB/OL]. (2011-11-07)[2013-09-09]. http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
12. 世界衛生組織. ICD-10精神與行為障礙分類[M]. 范肖冬, 汪向東, 于欣, 等, 譯. 北京:人民衛生出版社, 1993:7-225.
13. 邵磊, 錢敏才,徐美英. 浙江省精神病專科醫院住院患者疾病譜的分析[J]. 解放軍護理雜志, 2011, 28(11A):22-23.
14. 龐麗, 婁崢. 2010~2012年上海精神專科醫院病原菌分布和耐藥性分析[J]. 現代檢驗醫學雜志, 2013, 28(5):132-134.
15. 張德倫, 沈寧平, 姚鵬. 11048例精神科住院患者抗菌藥物使用情況調查分析[J]. 中國執業藥師, 2013, 10(9):6-8.

West China Medical Journal

Investigation and Analysis on the Nosocomial Infection in 1 621 Hospitalized Patients with Acute and Serious Schizophrenia

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