提高医院感染诊断相关病原学送检率的干预措施及效果评价  

Intervention measures and effectiveness evaluation to improve pathogenic detection rate related to healthcare-associated infection diagnosis

作　　者：万艳春[1] 高刻[2] 刘艳秋[3] 韩春[1] WAN Yan-chun;GAO Ke;LIU Yan-qiu;HAN Chun(Department of Infection Management,Huai’an First People’s Hospital,Huai’an 223002,China;Hospital Department,Huai’an First People’s Hospital,Huai’an 223002,China;Department of Laboratory Medicine,Huai’an First People’s Hospital,Huai’an 223002,China)

机构地区：[1]淮安市第一人民医院分院感染管理科,江苏淮安223002 [2]淮安市第一人民医院分院院部,江苏淮安223002 [3]淮安市第一人民医院分院检验科,江苏淮安223002

出　　处：《中国感染控制杂志》2023年第7期822-827,共6页Chinese Journal of Infection Control

摘　　要：目的 探讨二级综合医院提高医院感染诊断相关病原学送检率的干预措施及效果。方法 选取2021—2022年某二级综合医院的所有住院患者中上报的医院感染病例作为研究对象,2021年为干预前组,2022为干预后组,比较实施干预改进措施前后医院感染诊断相关病原学送检率指标。结果 2021年全年医院感染诊断相关病原学送检率为66.07%,实施干预改进措施后,2022年全年送检率达91.55%,符合规范要求的≥90%,干预前后比较差异有统计学意义(χ2=12.85,P<0.01)。实施干预改进措施后,医院住院患者抗菌药物使用率,限制级、特殊级抗菌药物使用构成比比较,差异均有统计学意义(均P<0.05)。结论 实施有效的干预改进措施可以提高医院感染诊断相关病原学送检率,但质控指标还有待改进和完善之处。Objective To explore the intervention measures and effectiveness evaluation for the improvement of the pathogenic detection rate related to healthcare-associated infection(HAI)diagnosis in secondary general hospitals.Methods The reported HAI cases among all hospitalized patients in a secondary general hospital from 2021 to 2022 were selected as the research object,with 2021 as the pre-intervention group and 2022 as the post-intervention group.Indicators of pathogenic detection rates related to HAI diagnosis before and after the implementation of improvement intervention measures were compared.Results Pathogenic detection rate related to HAI diagnosis was 66.07%in 2021.After implementing improvement intervention measures,detection rate reached 91.55%in 2022,meeting the standard requirements of≥90%.The difference before and after intervention was statistically significant(χ2=12.85,P<0.01).After implementing improvement intervention measures,differences in the antimicrobial use rate and the constituent ratios of restricted and special-grade antimicrobials among hospitalized patients were all statistically significant(all P<0.05).Conclusion Implementing effective improvement intervention measures can increase HAI diagnosis-related pathogenic detection rate,but the quality control indicators still needs to be improved and refined.

关 键 词：医院感染诊断相关病原学送检率 干预 效果评价 医院感染 

分 类 号：R181.32[医药卫生—流行病学]