成都市某三甲医院2012～2014年医院感染横断面调查结果趋势对比分析  

Prevalence of health care-associated infection in 2012-2014 of a first-class hospital in Chengdu

作　　者：向丽佳[1] 夏娇[1] 孙艳梅[2] 郑晓红[1] 

机构地区：[1]成都市第二人民医院医院感染管理科,610021 [2]四川大学华西医院<华西医学>编辑部,成都610021

出　　处：《重庆医学》2015年第29期4129-4130,4176,共3页Chongqing medicine

摘　　要：目的 分析成都市第二人民医院住院患者医院感染现患情况及变化趋势,了解医院感染防控水平,为日后防控重点方向提供依据。方法 2012-2014年采用床旁调查与病历调查相结合的方法对该院所有住院患者进行医院感染现患率调查,并对连续3年的资料进行统计学分析。结果 2012-2014年医院感染现患率分别为4.15%、3.38%、2.76%,连续3年医院感染现患率感染率比较,差异无统计学意义（χ^2=3.908,P=0.142）。连续3年对比观察,医院感染部位主要以呼吸道（61.3%）为主,其次为消化道（16.7%）和泌尿道（6.7%）,不同年份感染部位构成差异无统计学意义（χ^2=12.167,P=0.239）;不同科室类别医院感染发病率比较,内科系统感染率2012-2014年呈现不断下降趋势,差异有统计学意义（χ^2=8.347,P=0.015）。结论 连续观察医院感染现患率调查结果有助于了解医院感染趋势,寻找感染工作重点,改进医院感染管理工作方法。Objective To analyze the tend of hospital infection,to understand the hospital infection control situation and provide a scientific basis for hospital infection prevention and control.Methods Investigation by the bed in combination with case investigation form 2012 to 2014,and the data of three consecutive years were analyzed by statistical analysis.Results In 2012,2013 and 2014,the hospital infection rates were 4.15%,3.38% and 2.76% respectively,there was no statistically significant difference（χ^2=3.908,P=0.142）.Hospital infection site mainly respiratory tract（61.33%）,followed by the digestive tract（16.67%）and urinary tract（6.67%）,different parts of the infection rate after statistical tests,the difference had no statistically significant（χ^2=12.167,P=0.239）;Different departments category incidence of hospital infection,infection rate of internal system presented the declining trend,in 2012-2014 by the statistical tests,the difference had statistically significant（χ^2=8.347,P=0.015）.Conclusion Continuous observation of hospital infection rates helps to understanding the trend of hospital infection,finding focus of infection,improving the method of hospital infection management.

关 键 词：交叉感染 横断面调查 感染趋势 评审 

分 类 号：R197.323[医药卫生—卫生事业管理]