四川省23家医院2011年6月25日医院感染现患率调查与分析  

Survey and analysis on prevalence of hospital-acquired infections in 23 hospitals from Sichuan Province on the day of June 25,2011

作　　者：黄文治[1] 庄红娣[1] 李诗雨[1] 乔甫[1] 王妍潼[1] 尹维佳[1] 宗志勇[1] 

机构地区：[1]四川大学华西医院医院感染管理科

出　　处：《中华老年多器官疾病杂志》2016年第9期657-661,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：中美新发和再发传染病合作项目(JH2011008)~~

摘　　要：目的：了解2011年四川省医院感染（ HAI ）情况，为制定和实施符合本省实际的HAI防控措施提供科学依据。方法采用查阅住院病历与床旁调查相结合的方法调查四川省23家医院住院患者于2011年6月25日的日HAI现患率。结果27144例住院患者日HAI现患率为2.5％。三级甲等综合医院的HAI现患率（2．7％）显著高于三级乙等医院（1.8％）和三级甲等专科医院（1.0％），差异均具有统计学意义（P＜0．05）。 HAI部位以下呼吸道感染为主，占50.2％。 HAI分离的病原菌以革兰阴性杆菌为主。性别、年龄、基础疾病（糖尿病、高血压、呼吸衰竭、肾功能不全、心功能不全、肿瘤和血液病）、使用激素、昏迷以及侵入性操作都与发生HAI有关。结论需要特别关注的HAI类型包括呼吸道感染、手术部位感染及尿路感染，应开展相应的目标性监测。此次调查有助于了解四川省各医院HAI的基本情况，对促进四川省感染控制工作水平的提高有较为重要的意义。Objective To investigate the prevalence of hospital-acquired infections （ HAI） in the hospitals of Sichuan Province in 2011, and to provide scientific basis for formulating and implementing infection control measures in accordance with the actual situation.Methods Bedside investigation and investigation of medical records were carried out to obtain the point prevalence of HAI on the day of June 25, 2011 among the inpatients in the 23 hospitals from Sichuan Province.Results The 1-day prevalence of HAI was 2.5%among the 27 144 inpatients.The prevalence was higher in the upper first-class general hospitals （2.7%） than the middle first-class hospitals （1.8%） and upper first-class specialized hospitals （1.0%, P〈0.05）.The main infection site was lower respira-tory tract, accounting for 50.2%of all the HAI.Gram-negative bacilli were the main isolated pathogens.Factors such as gender, age, underlying diseases （ diabetes, hypertension, respiratory failure, renal insufficiency, cardiac insufficiency, tumor and hematologic diseases） , use of hormones, coma and invasive operation were related to HAI.Conclusion Special attentions should be paid to the HAI types, such as lower respiratory tract infection, surgical site infection and urinary tract infection, and targeted surveillance should be carried out.This investigation is helpful to grasp the basic situation of HAI in hospitals from Sichuan Province and of great significance for improving the work of infection control in the region.

关 键 词：医院感染 现患率 病原菌 

分 类 号：R181.32[医药卫生—流行病学]