发热症状监测在前瞻性医院感染发病监测中的应用研究

Application of Fever Symptom Surveillance in Hospital Infection Prospective Monitoring

目的探讨发热症状监测应用在医院感染发病监测的方法和效果。方法资料分两组,A组采用回顾性病例监测方法抽查出院病历,医院感染病例填表登记;B组采用前瞻性监测方法,使用研发的实用电子功能模块,在全院住院病例中将体温≥37.5℃患者的信息收集到数据库,利用医院信息系统并结合临床早期判断有无医院感染。结果A组与B组医院感染发病率、漏报率和病原学送检率的差异有统计学意义(P<0.01)。结论发热症状为线索引导的医院感染发病监测敏感性高,覆盖面广,成本费用低,监管效果明显,有推广应用价值。

OBJECTIVE To explore the effect of fever symptom surveillance in hospital infection prospective monitoring. METHODS The material were divided into tow groups. A group was adopted retrospective method and B group was used prospective study method. A practical electronic function modules was applied in B group. The patients information of temperature 937.5 ℃ was collected to the data-base. Hospital information systems were utilized to estimate hospital infection. RESULTS There were significant difference（P〈0. 01） between A groups and B groups in hospital infection, case load, omission rate and sample rate. CONCLUSIONS The sensitivity of hospital infection monitoring is high when quide with fever symptom surveillance, which is low cost, obvious management effects.