2014年贵州省各地区医院感染相关指标调查  

Quality control indicators for healthcare-associated infection in different regions of Guizhou Province,2014

作　　者：游灿青[1] 查筑红[1] 李凌竹[1] 罗光英[1] 王清青[1] 陈璐[1] 冷应蓉[1] 

机构地区：[1]贵州医科大学附属医院贵州省医院感染管理质量控制中心,贵州贵阳550004

出　　处：《中国感染控制杂志》2016年第11期821-824,829,共5页Chinese Journal of Infection Control

基　　金：贵州省科技厅社会公关计划基金资助项目(黔科合SY字[2013]3176号)

摘　　要：目的了解贵州省各地区医院医院感染基本情况,为各医院制定医院感染预防与控制措施提供参考。方法 2014年1月1日—9月30日以调查表形式对贵州省9个地区118所二级及以上医疗机构进行调查,整理分析118所医院医院感染现患率、抗菌药物使用情况、手术部位及器械相关感染等数据。结果共调查在院患者52 531例,发生医院感染1 175例,医院感染现患率2.24%。51 735例住院患者抗菌药物使用率为39.02%,其中治疗性使用抗菌药物患者细菌培养送检率为38.81%。8 119例手术患者术后肺部感染率0.71%,切口感染率2.50%。目标性监测导尿管相关尿路感染、呼吸机相关肺炎、中心静脉导管相关血流感染发病率分别为2.56‰、7.62‰和1.12‰。不同地区间治疗性使用抗菌药物细菌培养送检率、术后肺部感染率和切口感染率比较,差异均具有统计学意义(χ2值分别是1 128.459、16.086、31.360,均P<0.05)。结论贵州省不同地区医院术后肺部感染、切口感染、器械相关感染和治疗性使用抗菌药物微生物送检意识等方面存在一定差异,各医疗机构应进一步规范医院感染病例监测,加强医院感染预防与控制措施,缩小地区间差距。Objective To evaluate the basic situation of healthcare-associated infection （HAI）in hospitals in different regions of Guizhou Province,so as to provide basis for making HAI prevention and control measures. Methods From January 1 to September 30,2014,118 secondary or above level medical institutions in 9 regions of Guizhou Province were investigated through the use of questionnaires,data about prevalence rate of HAI,antimi-crobial use,surgical site infection（SSI）,and device-associated infection were summarized and analyzed.Results A total of 52 531 patients were surveyed,1 175 cases of HAI occurred,prevalence rate of HAI was 2.24%,antimi-crobial usage rate in 51 735 patients was 39.02%,microbiology specimen submission rate in patients receiving therapeutic antimicrobial agents was 38.81 %.Postoperative pulmonary infection and SSI rates among 8 119 patients were 0.71 % and 2.50% respectively.Targeted monitoring data showed the rates of catheter-associated urinary tract infection,ventilator-associated pneumonia,and central venous catheter-related bloodstream infection were 2.56 ‰, 7.62 ‰,and 1 .12 ‰ respectively.Differences in specimen submission rate in patients receiving therapeutic antimi-crobial agents,postoperative pulmonary infection rate,and SSI rate among different regions were statistically significant （χ2 =1 128.459,16.086,31 .360,respectively,all P 〈0.05）.Conclusion There remain some differencesin postoperative pulmonary infection,SSI,device-associated infection,and specimen submission rates among different re-gions.HAI monitoring,prevention,and control measures should be developed for all levels of medical institutions.

关 键 词：医院感染 横断面调查 抗菌药物使用 目标性监测 预防与控制 

分 类 号：R181.3[医药卫生—流行病学]