2011年常州市医院感染现患率调查结果分析  

Prevalence Survey of Healthcare Associated infections in 15 Changzhou Hospitals

作　　者：杨乐[1] 赵丽霞[1] 宋舸[1] 吴云亚[1] 焦宇文[1] 

机构地区：[1]常州市第二人民医院感染管理科,江苏213003

出　　处：《常州实用医学》2012年第4期245-248,共4页CHANGZHOU PRACTICAL MEDICINE

摘　　要：目的了解常州市市属二级以上医院医院感染现状及相关危险因素，为制定相关政策提供依据。方法按照卫生部《医院感染诊断标准》，采取床旁调查和查阅住院病历相结合的方法，对2011年8月30日常州市市属二级以上15所医院所有住院患者进行医院感染现患率调查。结果实际调查9691例，实查率99．96％，发现医院感染362例，感染率3．74％，382例次感染，例次感染率3．94％。科室例次感染率最高为重症监护室（科）（38．98％）。感染部位前5位依此为下呼吸道（43．72％）、上呼吸道（14．14％）、泌尿系统感染（11．26％）、手术部位感染（9．69％）、皮肤软组织感染（5．50％）。医院感染的高危因素有：使用呼吸机、有血管通路和插导尿管。调查当天有3562例使用抗菌药物，日使用率为36．76％。检出病原体213株，大多数为革兰阴性菌（70．42％）。调查的9691例住院患者中，有61例存在多药耐药菌感染，占0．63％。结论在目标性监测基础上，每年至少开展一次医院感染现患率调查，有助于提高医院感染监测准确性，有助于进一步了解本市或本单位医院感染高危险因素以及多药耐药菌感染状况，从而有针对性加强医院重点科室、重点部位的目标性监测及采取干预措施，才能有效控制医院感染，减少多药耐药菌感染的发生。Objective To evaluate the prevalence of heahhcare associated infections（HA/s） in Changzhou, with aims to provide the basis for the policy of preventing and controlling the HAIs. Methods A survey of HAIs was undertaken in 15 hospitals in 30th of August 2011, HAIs were diagnosed according to the criteria set up by the Minister of Health. Infection control professionals investigated each admitted patient at bedside in order to detect each HAI. Results A total of 9691 patients were surveyed and the actual investigated rate was 99.96%.362 patients with HAIs were de^eeted ,and 382 cases of HAls,the prevalence was 3.94% .The highest prevalence of units is intensive care unit（38.98%） .The top five HAIs were lower respiratory tract infectiun （43.72 % ）, upper respiratoly tract infection （ 14.14% ）, urinary system infection （ 11.26% ）, surgieal site infectiun （9.69 % ） and skin and soft tissue infection（5.50% ）. High risk factors of HAIs include the use of ventilator, vascular access and catheter. Among 9691 patients,3562 patients（36.76%） were using antimierobial agents at the survey day.213 strains of pathogens were isolated, mostly Gram- negative baciUi（70.42%）.Among 9691 patients,61 patients（0.63%） were infected by Multi drug resistant organisros（MDROs）. Conclusion The prevalence survey should be undertaken at least one time every year on the basis of targeted monitoring for HAIs that will help us to improve the accuracy of data and understand the high risk factors for HA.Is and the preva- lence of MDROs infection in hospitals in Changzhou so as to strengthen HAIs＇ targeted monitoring and interventions in key departments and sites whieh will contribute to controlling the HAIs and reducing the incidence of MDROs.

关 键 词：医院感染 现患率调查 危险因素 多药耐药菌 

分 类 号：R1[医药卫生—公共卫生与预防医学]