郑州地区30家医院静脉输液及经血传播疾病现状调查  

Analysis of intravenous infusion and blood-borne diseases in 30 hospitals in Zhengzhou

作　　者：孙渭歌 刘娟[1,2] 范雅琳 王亚莉 阎颖 Sun Weige;Liu Juan;Fan Yalin;Wang Yali;Yan Ying(Infection Management Office,Henan University of Traditional Chinese Medicine People's Hospital/Zhengzhou People's Hospital,Zhengzhou 450002,China;The Fifth Clinical Medical College of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学人民医院/郑州人民医院感染管理办公室,郑州450002 [2]河南中医药大学第五临床医学院,郑州450003

出　　处：《保健医学研究与实践》2022年第12期84-87,93,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20191082)。

摘　　要：目的 通过对郑州地区30家不同级别医院进行住院患者静脉输液、抗菌药物使用、经血传播疾病感染的现状调查,为合理应用静脉输液、制定抗菌药物管理目标、控制经血传播疾病提供参考。方法 2020年7月15日—11月30日按照统一标准对郑州地区不同规模医院住院患者静脉输液、抗菌药物使用、经血传播疾病感染情况进行横断面调查。结果 共收集30家医院的资料,住院患者整体静脉输液率为72.80%,抗菌药物使用率为28.23%,95.29%的抗菌药物通过静脉输液给药,预防性使用抗菌药物率为24.81%,病原学送检率为45.88%,抗菌药物使用前送检率为38.43%。不同规模医院住院患者的抗菌药物使用率、预防性使用抗菌药物率、病原学送检率、抗菌药物使用前送检率比较,差异均有统计学意义(P<0.05):其中床位数<300的医院住院患者抗菌药物使用率最高(32.73%);床位数300~599的医院住院患者的预防性使用抗菌药物率最高(34.69%);床位数≥900的医院住院患者的病原学送检率及抗菌药物使用前送检率最高(51.06%及43.71%)。此外,不同规模医院住院患者经血传播疾病感染存在率、检查率比较,差异均有统计学意义(P<0.05):其中床位数≥900的医院住院患者人类免疫缺陷病毒(HIV)感染存在率最高,床位数<300的医院住院患者丙型肝炎病毒(HCV)及梅毒螺旋体(TP)感染存在率最低。结论 县级二级医院住院患者静脉输液率较高,小型医院在抗菌药物管理方面存在不同的问题。此外,医院规模越大、患者越多,越要关注经血传播疾病的防控。Objective To investigate the current status of intravenous infusion,use of antibiotics,and blood-borne diseases in 30 hospitals of different levels in Zhengzhou to provide a reference for rational use of intravenous infusion,the establishment of antibacterial drug management objectives,and control of blood-borne diseases.Methods From July 15 to November 30,2020,intravenous infusion,use of antibacterial drugs,and blood-borne diseases were investigated in hospitalized patients in different hospitals in Zhengzhou via unified standards.Results The data from 30 hospitals were collected.The overall intravenous infusion rate was 72.80%,the use rate of antibacterial drugs was 28.23%,the administration of antibacterial drugs by intravenous infusion was 95.29%,the prophylactic use rate of antibacterial drugs was 24.81%,the etiological submission rate was 45.88 %,and the submission rate before the use of antibacterial drugs was 38.43%,respectively.There were significant differences in the use rate of antibacterial drugs,the rate of prophylactic use of antibacterial drugs,the rate of etiological submission,and the rate of submission before the use of antibacterial drugs among hospitalized patients in hospitals of different sizes(P<0.05).Among them,the use rate of antibacterial drugs was the highest in inpatients with hospital beds less than 300(32.73%);the rate of prophylactic use of antibacterial drugs was the highest in inpatients with hospital beds from 300 to 599(34.69%);and the etiological submission rate and the rate before the use of antibacterial drugs were the highest in inpatients with hospital beds over 900(51.06% and 43.71 %).Moreover,there were significant differences in the presence rate and examination rate of blood-borne disease infection among hospitalized patients in different hospitals(P<0.05):the presence rate of HIV infection was the highest in hospitalized patients with hospital beds over 900,and the presence rate of hepatitis C virus(HCV) and Treponema pallidum(TP) infection was the lowest in hospitali

关 键 词：郑州地区 医疗机构 静脉输液 抗菌药物使用 经血传播疾病 

分 类 号：R181.3[医药卫生—流行病学]