Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014_West China Medical Journal

Authors：

 ZhangYunlin , SuYuehua ,  ChenHuailiang , GaoChunmei , WangYouhua

Department of Nosocomial Infection Control, the People's Hospital of Tianfu New Area, Chengdu, Sichuan 610213, P. R. China;

Corresponding?author：

ChenHuailiang, Email: chenhuailiang86@sina.com

Keywords：

Nosocomial infection; Prevalence rate; Grass-roots hospital

DOI：

10.7507/1002-0179.201600373

Video：

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Objective To explore the current situation of nosocomial infection, sample test and use of antibiotics in the in-patients, so as to provide scientific evidence for control and prevention of nosocomial infection. Methods Bedside investigation and medical records checking were adapted to conduct cross-sectional survey among all the in-patients in 2013 and 2014. Results On July 16 th, 2013 (00:00-24:00) and September 10 th, 2014 (00:00-24:00), a total of 1 400 in-patients were investigated in whom 68 with nosocomial infection were diagnosed, with a prevalence rate of 4.86%. No statistical difference were found between the two year's prevalence rate (χ²=1.341, P=0.264). The prevalence rate of Intensive Care Unit, Department of Neurosurgery (including Department of Thoracic Surgery) and Department General Surgery ranked the first three places, and the most common infection position was respiratory tract (61.76%). The usage rate of antibiotics was 48.00% in the two years, and no statistical difference was observed in the usage rate between the two years (χ²=1.309, P=0.261). Therapeutic use (67.86%) and onefold use (90.33%) accounted for most of antibiotics use. Test rate of therapeutic antibiotics use was 49.17% and no statistical difference was observed in the test rates between the two years (χ²=2.023, P=0.170). Concluslons The nosocomial infection rate was stably high in the two years. To prevent and control nosocomial infection effectively, medical personnels knowledge and skills on nosocomial infection should be improved, surveillance and guidance towards key departments should be strengthened and clinicians' diagnosis and treatment behaviors should further be regulated.

Citation： ZhangYunlin, SuYuehua, ChenHuailiang, GaoChunmei, WangYouhua. Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014. West China Medical Journal, 2016, 31(8): 1367-1371. doi: 10.7507/1002-0179.201600373 Copy

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16.	唐燕, 陳麗萍, 孫睿, 等.某醫院2013年醫院感染現患率調查及影響因素分析[J].華西醫學, 2014, 29(7):1319-1322.

1. 王紅韶, 穆麗煥, 姚源, 等. 2050例住院患者醫院感染現患率調查分析[J].中華醫院感染學雜志, 2012, 22(17):3702-3704.
2. 中華人民共和國國家衛生和計劃生育委員會.醫院感染診斷標準(試行)[EB/OL]. (2001-11-07)[2016-05-26]. http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
3. 方小芳, 鄭永麗, 丁韌, 等. 2008-2010年醫院感染橫斷面調查分析[J].中華醫院感染學雜志, 2012, 22(6):1135-1137.
4. 羅柳榮, 劉濱, 周麗芳, 等. 2008-2011年醫院感染現患率調查結果分析[J].中華醫院感染學雜志, 2013, 23(13):2292-2294.
5. 王曉青, 蓋海云, 周寧. 2009-2010年醫院感染現患率調查與分析[J].中華醫院感染學雜志, 2011, 21(18):3809-3811.
6. 張瑩, 龍訓琴, 高建萍, 等.住院患者醫院感染現狀及抗菌藥物使用情況分析[J].中國全科醫學, 2013, 16(4):1176-1177.
7. 劉萍, 郭秀芳, 劉國會, 等.醫院感染橫斷面調查分析[J].現代預防醫學, 2012, 39(5):1123-1125.
8. 張菊, 蘇維.龍泉驛區人民醫院醫院感染現患率調查[J].現代預防醫學, 2013, 40(8):1143-1145.
9. 向錢, 魏道瓊, 周忠華, 等. 2011年四川省248所醫院醫院感染橫斷面調查[J].中國感染控制雜志, 2013, 12(3):186-189.
10. 黃海燕, 趙德林, 翁秀英, 等.醫院感染現患率調查分析[J].中華醫院感染學雜志, 2013, 23(14):3317-3321.
11. 顏小珍, 巫香球.醫院感染分布特點以及影響因素分析[J].中華醫院感染學雜志, 2011, 21(23):4966-4968.
12. 王芹. 113838例住院患者醫院感染及危險因素的logistic回歸分析[J].中華醫院感染學雜志, 2011, 21(16):3344-3346.
13. 陳翠芳, 李源培, 尹明敏, 等.醫院感染現患率調查及其影響因素分析[J].中華醫院感染學雜志, 2011, 21(19):4002-4004.
14. 苗立群, 李麗. 1168例醫院感染患者病原菌的調查及其影響因素的探討[J].微生物學雜志, 2009, 29(1):103-106.
15. 王寶涵, 李偉, 龐來祥.醫院感染現患率調查[J].中華醫院感染學雜志, 2013, 23(13):3062-3064.
16. 唐燕, 陳麗萍, 孫睿, 等.某醫院2013年醫院感染現患率調查及影響因素分析[J].華西醫學, 2014, 29(7):1319-1322.

West China Medical Journal

Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014

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