2021年西安市62家医疗机构医院感染现患率调查  

Investigation on the prevalence of nosocomial infection in 62 medical institutions in Xi’an in 2021

作　　者：陶西萍[1] 赵娜 薛卫宁[1] TAO Xi-ping;ZHAO Na;XUE Wei-ning(Xi’an Central Hospital,Xi’an Shaanxi 710003,China)

机构地区：[1]西安市中心医院,陕西西安710003

出　　处：《中国消毒学杂志》2022年第11期830-833,共4页Chinese Journal of Disinfection

基　　金：陕西省科技厅科研基金项目(2018SF-148)。

摘　　要：目的 了解西安市医疗机构医院感染现状,为医院感染防控提供科学依据和理论支持。方法 采用横断面调查方法对2021年7月15—31日西安市62家市属市管医疗机构进行医院感染现患率调查。结果 本次共调查62家医疗机构,其中三级医疗机构16家,二级医疗机构46家。共调查住院患者31 147例,实查住院患者31 100例,其中224例次发生医院感染,医院例次感染率为0.72%,三级医疗机构医院感染发生率高于二级医疗机构(P<0.01)。医院感染部位主要为下呼吸道(41.52%)、上呼吸道(15.18%)、泌尿道(9.82%)、导尿管相关尿路(6.70%)和表浅切口(5.36%)等。32家医疗机构设置有重症监护病房(ICU),其导尿管相关尿路感染发病率为1.2‰,导管相关血流感染发病率为0.24‰,呼吸机相关肺炎发病率为4.03‰。结论 不同级别医疗机构医院感染发生率不同,各医院可参考调查结果并结合实际情况制订有效的监测策略和防控方案,降低医院感染发生的风险。Objective To understand the current situation of nosocomial infection in medical institutions in Xi’an and to provide scientific basis and theoretical support for the prevention and control of nosocomial infection.Methods A cross-sectional survey was conducted to investigate the prevalence of nosocomial infection in 62 municipal medical institutions in Xi’an from July 15 to July 31,2021.Results A total of 62 medical institutions were investigated,including 16 tertiary medical institutions and 46 secondary medical institutions.A total of 31 147 inpatients were investigated,and 31 100 inpatients were actually investigated.224 inpatients had nosocomial infection,with a case rate of nosocomial infection 0.72%,and the incidence of nosocomial infection in tertiary medical institutions was higher than that in secondary medical institutions(P<0.01).The main nosocomial infection sites were lower respiratory tract(41.52%),upper respiratory tract(15.18%),urinary tract(9.82%),catheter-related urinary tract(6.70%) and superficial incision(5.36%).In 32 medical institutions with ICU,the incidence of catheter-related urinary tract infection was 1.2‰,the incidence of catheter-related blood stream infection was 0.24‰,and the incidence of ventilator-related pneumonia was 4.03‰.Conclusion The incidence of nosocomial infection in different levels of medical institutions is different.Each hospital can develop effective monitoring strategies and prevention and control programs based on the survey results combined with the actual situation to reduce the risk of nosocomial infection.

关 键 词：医疗机构 医院感染 现患率 调查 

分 类 号：R197.323[医药卫生—卫生事业管理]