A cross-sectional study on nosocomial infections among medical institutions at different levels_West China Medical Journal

Authors：

TAN Jun ^1,2 , ZHOU Aijun ² , WENG Xiaofang ² , YUAN Yanling ² , LIU Chenglin ^1,2 ,  WANG Jianyun ^1,2

1. School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P. R. China;
2. Hospital Infection Control Department, Baoshan Branch of Shanghai First People’s Hospital, Shanghai 200940, P. R. China;

Corresponding?author：

WANG Jianyun, Email: hopkins99@163.com

Keywords：

Nosocomial infection; Cross-sectional study; Comparative analysis

DOI：

10.7507/1002-0179.201801112

Video：

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Objective To compare the epidemic status of nosocomial infections (NIs) among medical institutions at different levels. Methods The cross-sectional surveys on prevalence rates of NIs, distribution of NIs, and antimicrobial use were conducted through combination of bedside investigation and medical record reviewing among all in-patients of 20 medical institutions in Baoshan District, Shanghai from 00:01 to 24:00 on November 12th 2014, December 9th 2015, and November 30th 2016, respectively. Results A total of 18 762 patients were investigated, the prevalence rate of NIs in the first, second, and third class hospitals were 5.36%, 2.37%, 1.68%, respectively (χ²=88.497, P<0.05). The main NIs sites were lower respiratory tract, urinary tract, and upper respiratory tract in the first and second grade hospitals; while were other unclassified sites, respiratory tract, and upper respiratory tract in the third grade hospitals. The utilization rates for antimicrobial in the first, second, and third grade hospitals were 5.88%, 31.64%, and 42.11%, respectively (χ²=928.148, P<0.05); submission rates for specimen were 9.82%, 48.89%, and 82.39%, respectively (χ²=601.347, P<0.05). Four cases of pathogen were reported in the first grade hospitals, 94 in the second grade hospitals, and 96 in the third grade hospitals. The in-patients in different hospitals with different genders, ages, and departments had a statistical difference in prevalence rate of NIs (P<0.05) . Conclusion The first grade hospitals need to enhance the etiological examination; the third grade hospitals should severely restrict the antimicrobial utilization, and refine the prevention and control work for NIs.

Citation： TAN Jun, ZHOU Aijun, WENG Xiaofang, YUAN Yanling, LIU Chenglin, WANG Jianyun. A cross-sectional study on nosocomial infections among medical institutions at different levels. West China Medical Journal, 2018, 33(3): 279-283. doi: 10.7507/1002-0179.201801112 Copy

1.	中華人民共和國衛生部. 中華人民共和國衛生行業標準: 醫院感染監測規范. 中華醫院感染學雜志, 2009, 19(11): 1313-1314.
2.	中華人民共和國衛生部. 醫院感染診斷標準 (試行). 中華醫學雜志, 2001, 81(5): 310-320.
3.	陸曉燕, 李明珠, 施海娟. 上海寶山區醫院感染現患率調查. 中國消毒學雜志, 2009, 36(15): 2868-2870.
4.	李鴻寶. 2005～2006 年上海市普陀區醫院感染情況分析. 現代預防醫學, 2009, 36(15): 2868-2870.
5.	朱渭萍, 徐紅梅, 王遠萍, 等. 浦東新區醫療機構連續 2 年醫院感染現患率調查分析. 中國感染控制雜志, 2016, 15(7): 476-480.
6.	劉衛平, 田勇泉, 鄭志楠, 等. 2014 年醫院感染現患率調查分析. 中華醫院感染學雜志, 2015, 25(21): 4894-4896, 4964.
7.	陳慧斯, 李晶華, 張淑萍, 等. 2012–2013 年醫院感染現患率調查. 中國感染控制雜志, 2016, 15(3): 210-212.
8.	吳艷艷, 高芳, 鄒俊寧, 等. 某醫院 2014 年住院患者醫院感染現患率調查. 中國消毒學雜志, 2015, 32(11): 1104-1106.
9.	Charrier L, Argentero PA, Farina EC, et al. Surveillance of healthcare-associated infections in Piemonte, Italy: results from a second regional prevalence study. BMC Public Health, 2014, 14(1): 558.
10.	雷君, 張輝文, 沙克芳, 等. 新疆醫科大學附屬腫瘤醫院感染現患率調查. 新疆醫科大學學報, 2010, 33(6): 713-715.
11.	楊紅梅, 王冬梅, 朱利娜, 等. 2014 年–2016 年綜合性醫院感染現患率調查分析. 航空航天醫學雜志, 2017, 28(6): 660-663.
12.	任南, 細毛, 吳安華. 2014 年全國醫院感染橫斷面調查報告. 中國感染控制雜志, 2016, 15(2): 83-87.
13.	楊瀅, 方旭, 卯升嫚, 等. 某綜合醫院住院患者醫院感染和社區感染現患率調查. 中國消毒學雜志, 2017(10): 981-984.
14.	Behnke M, Hansen S, Leistner R, et al. Nosocomial infection and antibiotic use a second National prevalence study in Germany. Dtsch Arztebl Int, 2013, 110(38): U31-627.
15.	周謀清, 胡繼華. 東莞市 13 所三級醫院醫院感染現患率調查. 中國感染控制雜志, 2017, 16(3): 211-214.
16.	Cotter M, Donlon S, Roche F, et al. Healthcare-associated infection in Irish long-term care facilities: results from the First National Prevalence Study. J Hosp Infect, 2012, 80(3): 212-216.
17.	朱熠, 潘穎穎, 莊建文, 等. 某三級綜合醫院 2015 年醫院感染橫斷面調查分析. 中國消毒學雜志, 2017, 34(1): 52-54.
18.	伍瀟. 某醫院醫院感染橫斷面調查及影響因素分析. 衡陽: 南華大學, 2016.
19.	尹丹萍, 何多多, 鞏霞, 等. 某三甲醫院 2014–2016 年醫院感染現患率調查分析. 中華醫院感染學雜志, 2017, 27(6): 1405-1408.
20.	范珊紅, 慕彩妮, 尚洋, 等. 醫院感染現患率調查及危險因素分析. 中國感染控制雜志, 2013, 12(5): 351-355.
21.	李倩, 平寶華, 李寶珍. 2013 年醫院感染現患率調查及危險因素分析. 中國感染控制雜志, 2014, 13(8): 467-471.
22.	Liu JY, Wu YH, Cai M, et al. Point-prevalence survey of healthcare-associated infections in Beijing, China: a survey and analysis in 2014. J Hosp Infect, 2016, 93(3): 271-279.
23.	張本娜, 仝青英, 王藩, 等. 某醫院 2015 年醫院感染現患率調查分析. 中國消毒學雜志, 2016, 33(6): 564-566.
24.	Liu WP, Tian YQ, Hai YT, et al. Prevalence survey of nosocomial infections in the Inner Mongolia Autonomous Region of China[2012-2014] . J Thorac Dis, 2015, 7(9): 1650.

1. 中華人民共和國衛生部. 中華人民共和國衛生行業標準: 醫院感染監測規范. 中華醫院感染學雜志, 2009, 19(11): 1313-1314.
2. 中華人民共和國衛生部. 醫院感染診斷標準 (試行). 中華醫學雜志, 2001, 81(5): 310-320.
3. 陸曉燕, 李明珠, 施海娟. 上海寶山區醫院感染現患率調查. 中國消毒學雜志, 2009, 36(15): 2868-2870.
4. 李鴻寶. 2005～2006 年上海市普陀區醫院感染情況分析. 現代預防醫學, 2009, 36(15): 2868-2870.
5. 朱渭萍, 徐紅梅, 王遠萍, 等. 浦東新區醫療機構連續 2 年醫院感染現患率調查分析. 中國感染控制雜志, 2016, 15(7): 476-480.
6. 劉衛平, 田勇泉, 鄭志楠, 等. 2014 年醫院感染現患率調查分析. 中華醫院感染學雜志, 2015, 25(21): 4894-4896, 4964.
7. 陳慧斯, 李晶華, 張淑萍, 等. 2012–2013 年醫院感染現患率調查. 中國感染控制雜志, 2016, 15(3): 210-212.
8. 吳艷艷, 高芳, 鄒俊寧, 等. 某醫院 2014 年住院患者醫院感染現患率調查. 中國消毒學雜志, 2015, 32(11): 1104-1106.
9. Charrier L, Argentero PA, Farina EC, et al. Surveillance of healthcare-associated infections in Piemonte, Italy: results from a second regional prevalence study. BMC Public Health, 2014, 14(1): 558.
10. 雷君, 張輝文, 沙克芳, 等. 新疆醫科大學附屬腫瘤醫院感染現患率調查. 新疆醫科大學學報, 2010, 33(6): 713-715.
11. 楊紅梅, 王冬梅, 朱利娜, 等. 2014 年–2016 年綜合性醫院感染現患率調查分析. 航空航天醫學雜志, 2017, 28(6): 660-663.
12. 任南, 細毛, 吳安華. 2014 年全國醫院感染橫斷面調查報告. 中國感染控制雜志, 2016, 15(2): 83-87.
13. 楊瀅, 方旭, 卯升嫚, 等. 某綜合醫院住院患者醫院感染和社區感染現患率調查. 中國消毒學雜志, 2017(10): 981-984.
14. Behnke M, Hansen S, Leistner R, et al. Nosocomial infection and antibiotic use a second National prevalence study in Germany. Dtsch Arztebl Int, 2013, 110(38): U31-627.
15. 周謀清, 胡繼華. 東莞市 13 所三級醫院醫院感染現患率調查. 中國感染控制雜志, 2017, 16(3): 211-214.
16. Cotter M, Donlon S, Roche F, et al. Healthcare-associated infection in Irish long-term care facilities: results from the First National Prevalence Study. J Hosp Infect, 2012, 80(3): 212-216.
17. 朱熠, 潘穎穎, 莊建文, 等. 某三級綜合醫院 2015 年醫院感染橫斷面調查分析. 中國消毒學雜志, 2017, 34(1): 52-54.
18. 伍瀟. 某醫院醫院感染橫斷面調查及影響因素分析. 衡陽: 南華大學, 2016.
19. 尹丹萍, 何多多, 鞏霞, 等. 某三甲醫院 2014–2016 年醫院感染現患率調查分析. 中華醫院感染學雜志, 2017, 27(6): 1405-1408.
20. 范珊紅, 慕彩妮, 尚洋, 等. 醫院感染現患率調查及危險因素分析. 中國感染控制雜志, 2013, 12(5): 351-355.
21. 李倩, 平寶華, 李寶珍. 2013 年醫院感染現患率調查及危險因素分析. 中國感染控制雜志, 2014, 13(8): 467-471.
22. Liu JY, Wu YH, Cai M, et al. Point-prevalence survey of healthcare-associated infections in Beijing, China: a survey and analysis in 2014. J Hosp Infect, 2016, 93(3): 271-279.
23. 張本娜, 仝青英, 王藩, 等. 某醫院 2015 年醫院感染現患率調查分析. 中國消毒學雜志, 2016, 33(6): 564-566.
24. Liu WP, Tian YQ, Hai YT, et al. Prevalence survey of nosocomial infections in the Inner Mongolia Autonomous Region of China[2012-2014] . J Thorac Dis, 2015, 7(9): 1650.

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