邯郸市19所二级综合医院医院感染与社区感染现患率调查

Prevalence survey of healthcare-associated infection and community-associated infection in 19 secondary general hospitals in Handan

目的了解邯郸市二级综合医院医院感染与社区感染现状。方法采用查阅住院病历与床旁调查相结合的方法,调查邯郸市19所二级综合医院住院患者的感染情况。结果此次调查应查人数4897例,实查4879例,实查率99.63%。发生医院感染174例,医院感染现患率为3.57%,社区感染1113例,社区感染现患率为22.81%;医院与社区感染现患率均以儿科最高,分别为5.16%、71.56%;医院感染部位主要是下呼吸道(36.65%)、上呼吸道(30.89%)及泌尿道(9.42%),社区感染部位主要是下呼吸道(40.99%)、上呼吸道(22.17%)及胃肠道(5.30%)。抗菌药物使用率为60.05%,其中以治疗为目的用药占43.92%,预防用药占39.97%,治疗+预防用药占16.11%;抗菌药物单一用药占68.02%,二联用药占29.56%,三联用药占2.15%,四联及以上用药占0.27%。结论现患率调查有助于全面了解医院感染和社区感染现状以及抗菌药物使用情况,有助于针对性地采取预防控制措施。

Objective To investigate the prevalence rates of healthcare-associated infection（HAI） and community associated infection（CAD in 19 secondary general hospitals in Handam Methods HAI and CALl prevalence rates of inpatients in 19 hospitals were investigated by means of medical record checking and bedside visiting. Results A total of 4 897 patients should be surveyed, 4 879 （99. 63%） were actually surveyed. Of 4 879 investigated patients, 174 had HAI, and the prevalence rate was 3.57%, 1 113 developed CAI, the prevalence rate of CAI was 22. 81% Pediatric department had the highest prevalence rates of HAI （5.16%） and CAI（71.56%） ;The main infection sites of HAI were lower respiratory tract （36. 65%）, upper respiratory tract （30. 89%） and urinary tract （9. 42%） ; the main infection sites of CAI were lower respiratory tract （40. 99%）, upper respiratory tract （22. 17%） and gastrointestinal tract （5. 30%）. Antimicrobial usage rate was 60. 05%. In patients used antimicrobial agents, 43. 92% re- ceived curative use, 39. 97% received prophylactic use, 16. 11 % received both. Single antimicrohial use accounted for 68. 02%, two-drug 29. 56%, three-drug 2. 15%, and four-drug and above 0. 27% Conclusion Surveillance of prevalence rate helps to know the current state and antimicrobial use of HAI and CAI, and make proper prevention and control measures.