2019—2023年某地某三甲中医医院医院感染临床特征分析  

Analysis of Clinical Characteristics of Nosocomial Infection in a Grade A Tertiary Chinese Medicine Hospital from 2019 to 2023

作　　者：孔衍琳 曹怡 KONG Yan-lin;CAO Yi(Department of Liver Diseases Infectious Diseases,The Tai'an Traditional Chinese Medicine Hospital,Tai'an Shandong,271000,China)

机构地区：[1]泰安市中医医院肝病科,山东泰安271000

出　　处：《中华养生保健》2025年第7期15-19,23,共6页CHINESE HEALTH CARE

基　　金：山东省医药卫生科技发展计划项目(202215020655)。

摘　　要：目的分析2019—2023年某地某三甲中医医院医院感染临床特征。方法回顾性收集2019—2023年泰安市中医医院院感监测数据,分析医院感染情况、医院感染漏报情况、抗菌药物使用情况、Ⅰ类切口手术部位感染率及预防性抗菌药物使用率、多重耐药菌感染情况、三管相关感染发病情况、医院感染部位和科室情况分布特征等。结果2019—2023年全院住院总人数为168413人,医院感染人数为1626人,感染发病率为0.97%,医院感染例次数为1757例次,感染率为1.04%。漏报人数为27人,漏报率为1.66%,漏报例次数为27例次,漏报率为1.54%。多重耐药菌感染人数为198人,感染率为0.12%,感染例次数为226例次,感染率为0.13%。抗菌药物使用人数为68301人,使用率40.56%。Ⅰ类切口手术患者为8900人,手术例数为9432例,手术部位感染例数14例,感染率为0.16%。抗菌药物预防用药例数4606例,预防使用率48.83%。导尿管插管人数为13821人,总天数为127026 d,导尿管相关感染人数为275人,感染例次为277例,感染率为2.18‰;中央血管导管使用人数为1168人,总天数为12832 d,中央血管导管相关感染人数为6人,感染例次为6例,感染率为0.47‰。总共有1757例次医院感染,其中前5位是下呼吸道感染(含呼吸机相关)、泌尿系感染(含尿管相关)、上呼吸道感染、菌血症(含中央血管导管相关)、胃肠道感染,分别占38.82%、26.24%、21.63%、3.70%和2.22%。医院感染居前5位是脑病科(含脑病监护室)、重症医学科、康复科、脑病外科、老年病科,分别占23.33%、19.52%、7.63%、7.40%、6.49%。总共有226例次多重耐药菌医院感染,多耐药菌感染居前5位的科室分别是重症医学科、脑病外科、康复科、脑病科(含脑病监护室)、老年病科,分别占57.08%、12.39%、7.96%、7.08%、7.08%。发病率最高的病原体为碳青霉烯类耐药鲍曼不动杆菌。发病率最高的部位为下呼吸道感染(含Objective To analyze the clinical features of nosocomial infection in a top three Chinese medicine hospital from 2019 to 2023.Methods The monitoring data of hospital feeling in Tai'an Hospital of Traditional Chinese Medicine from 2019-2023 were collected retrospectively.The situation of nosocomial infection,underreporting of nosocomial infection,use of antibiotics,infection rate of ClassⅠincision and prophylactic antibiotics,multi-drug-resistant bacteria infection,incidence of three-tube related infections,distribution characteristics of nosocomial infection sites and departments were analyzed.Results From 2019 to 2023,the total number of inpatients in our hospital was 168413,the number of nosocomial infections was 1626,the incidence of infection was 0.97%,the number of nosocomial infections was 1757,and the rate of infection was 1.04%.The number of missed reports was 27,with a false report rate of 1.66%,and the number of missed reports was 27,with a false report rate of 1.54%.The number of multidrug-resistant bacteria was 198,the infection rate was 0.12%,the number of infection cases was 226,the infection rate was 0.13%.The number of users of antibiotics was 68301(40.56%).There were 8900 patients with ClassⅠincision surgery,9432 cases of operation,14 cases of surgical site infection,and the infection rate was 0.16%.There were 4606 cases of antibiotic prophylactic use,and the prophylactic use rate was 48.83%.The number of catheterization patients was 13821,the total number of days was 127026,the number of catheter-related infections was 275,the number of infections was 277,the infection rate was 2.18‰.The number of users of central vessel catheters was 1168,the total number of days was 12832,the number of central vessel catheter-related infections was 6,the number of infections was 6,and the infection rate was 0.47‰.There were a total of 1757 nosocomial infections,among which the top 5 were lower respiratory tract infections(including ventilator-related infections),urinary tract infections(including urina

关 键 词：医院感染 感染率 抗菌药物 多重耐药菌 

分 类 号：R181.32[医药卫生—流行病学]