2011年上海市72所医院血培养送检监测结果分析

Monitoring of blood culture submission of 72 hospitals in 2011 Shanghai

目的了解上海市72所医院2011年血培养送检率。方法上海市医院感染质量控制中心对市监测网72所医院调查住院的发热(≥38.5℃)患者血培养送检情况,每次调查3d,每季度调查1次。结果 72所医院在第一～四季度分别调查了54 968、51 089、54 089、49 421例患者,其中体温≥38.5℃患者依次为1602、1347、1571、1443例,血培养送检患者604、572、937、640例,送检率分别为37.70%、42.78%、59.64%、44.35%,送检率在逐步提高;合并发热(≥39.5℃)患者的送检率为59.20%;留置中心静脉导管(CVC)≥5d的患者送检率为52.50%,使用特殊类抗菌药物患者送检率为47.25%。结论上海市72所医院血培养送检率有待进一步提高,应采取进一步措施,提高血培养的送检率。

OBJECTIVE To investigate the submission rate of the blood culture of 72 hospitals in 2011.METHODS The data of the blood culture submission were investigated for the hospitalized patients with fever（≥38.5 ℃） from 72 hospitals under the surveillance net by Shanghai Center for Nosocomial Infection Control for 3 days once and once a quarter.RESULTS The patients enrolled from 72 hospitals in the first,second,third and fourth quarter were 54968,51089,54089 and 49421.The number of patients with fever（≥38.5 ℃） were 1602,1347,1571,and 1443,respectively,among them,the proportions of blood culture submission were 604（37.70%）,572（42.78%）,937（59.64%） and 640（44.35%）,respectively,the submission rate was increasing;the number of patients with fever（≥39.5 ℃） was 1196 with the submission rate of 59.20%;the number of patients with CVC（≥5 days） was 937 with the submission rate of 52.50%;the submission rate of the patients who used special antibiotics was 47.25%.CONCLUSION The submission rate of the blood culture of the 72 hospitals in Shanghai needs to be further improved,it is necessary to take the steps to raise the submission rate of the blood culture.