“提高住院患者抗菌药物治疗前病原学送检率”专项行动对医院微生物室设备及信息系统功能配置的成效调查  

Effect of special action"raising the etiological submission rate of hospitalized patients before antimicrobial treatment"on function configuration of equipment and information system in microbiological laboratories

作　　者：马瑶瑶 张洁 祁琪 王珂璇 刘金平 郭紫晴 赵烁 茅一萍 MA Yao-yao;ZHANG Jie;QI Qi;WANG Ke-xuan;LIU Jin-ping;GUO Zi-qing;ZHAO Shuo;MAO Yi-ping(Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;不详)

机构地区：[1]徐州医科大学护理学院,江苏徐州221004 [2]国家卫生健康委医院管理研究所医疗服务与安全研究部,北京100044 [3]徐州医科大学附属医院感染管理科,江苏徐州221006 [4]徐州医科大学附属医院神经外科,江苏徐州221006

出　　处：《中华医院感染学杂志》2024年第6期931-936,共6页Chinese Journal of Nosocomiology

基　　金：徐州医科大学附属医院发展基金资助项目/创新团队基金资助项目(XYFC2021002)。

摘　　要：目的 了解我国“提高住院患者抗菌药物治疗前病原学送检率”专项行动改进工作的开展情况及其对医院微生物室仪器设备及送检相关信息系统配置的促进成效。方法 2022年3—6月和2023年3—5月通过“国家医院感染管理专业质控中心哨点医院信息上报系统”发布的两次网络问卷,就2021和2022年度开展“提高住院患者抗菌药物治疗前病原学送检率”专项行动工作改进情况进行调查。结果 在纳入的493家医院中,2022年微生物室病原学检测相关仪器设备配置率除全自动接种仪外均高于2021年(P<0.05);2022年病原学检测项目的开展率、病原学送检相关信息系统功能配置率以及病原学送检率指标的可获取率均高于2021年(P<0.05);2022年微生物室新增仪器设备的医院占27.99%(138/493),新增病原学检测项目的医院占24.14%(119/493),新增送检相关信息系统功能的医院占37.53%(185/493)。结论 我国抗菌药物治疗前病原学送检率专项行动工作的开展,促进了各哨点医院在微生物室仪器设备、病原学检测项目以及送检相关信息系统功能等方面的发展,显著提升了各医院微生物室检验能力和信息系统管理监测分析水平,但各医院还需继续完善相关配置,以进一步提高抗菌药物治疗前病原学送检率。OBJECTIVE To understand the effect of special action"raising the etiological submission rate of hospi-talized patients before antimicrobial treatment"on function configuration of equipment and information system in microbiological laboratories.METHODS The online questionnaires were released by the Sentinel Hospital Informa-tion Reporting System of the National Quality Control Center for Hospital Infection Management in Mar-Jun.2022 and Mar-May 2023.respectively.The improvement status was investigated when the special action"raising the etiological submission rate of hospitalized patients before antimicrobial treatment"was carried out in 2021 and 2022.RESULTS Among the 493 enrolled hospitals,the allocation rates of all the etiological detection-related in-struments and equipment were higher in 2022 than 2021 except for fully automatic inoculators(P<0.05).The rate of carrying out the etiological test programs,allocation rate of etiological submission-related information systems and acquiring rate of etiological submission rate index were higher in 2022 than in 2021(P<0.05).The hospitals with added instruments and equipment in microbiological laboratories accounted for 27.99%(138/493)in 2022,the hospitals with added etiological test programs accounted for 24.14%(119/493),and the hospitals with added sub-mission-related information system functions accounted for 37.53%(185/493).CONCLUSION The special action'raising the etiological submission rate of hospitalized patients before antimicrobial treatment'promotes the devel-opment of instrument,equipment,etiological test items and submission-related information system functions of microbiological laboratories of the sentinel hospitals and remarkably improves the test capability,monitoring and analysis of the information systems of the microbiological laboratories.However,the hospitals need to make the related configuration completed so as to further raise the etiological submission rate before the antimicrobial treat-ment.

关 键 词：抗菌药物治疗 病原学送检率 微生物室 信息系统功能 医院感染 设备 问卷调查 现况调查 

分 类 号：R197.3[医药卫生—卫生事业管理]