2012-2015年某妇幼保健院医院感染现患率调查结果分析

Prevalence rates of healthcare-associated infection in a maternal and child health hospital in 2012-2015

目的 了解江西省某妇幼保健院医院感染现状,为医院感染预防和控制提供依据。方法 采取查阅病历和床旁调查相结合的方法 ,对2012-2015年该院住院患者进行医院感染横断面调查。结果 2012-2015年医院感染现患率分别为1.04%,1.48%、1.34%、1.74%。医院感染率较高的科室有新生儿科(1.00%-8.41%)、妇科(0.65%-1.32%)、产科(0-1.14%)。医院感染常见部位主要为下呼吸道(11.11%-41.67%)、血液(0-45.45%)、手术部位(0-33.33%)。2012-2015年抗菌药物使用率为21.50%-28.33%,呈升高趋势(Z=2.656,P=0.008)。结论 应对重点科室、重点部位开展医院感染目标性监测,积极采取干预措施;根据抗菌药物使用情况,继续加强抗菌药物管理工作。

Objective To analyze the prevalence rates of healthcare-associated infection in a maternal and child health hospiital in Jiangxi province,and provide basis for HAI preventing and controlling. Methods A cross-sectional survey on HAI prevalence of hospitalized patients in 2012 and 2015 was conducted by combination of medical record review and bedside examination.Results The HAI prevalence rate from 2012 to 2015 was 1.04%,1.48%,1.34% and 1.74% respectively. The departments with higher prevalence rates were neonatology department（1.00%-8.41%）,department of gynecology（0.65%-1.32%） and obstetrical department（0-1.14%）. The major infection site was lower respiratory tract（11.11%-41.67%）,blood（0-45.45%） and surgical site（0-33.33%）. Antimicrobial usage rate was 21.50-28.33%,and showed upward trend（Z=2.656,P=0.008）. Conclusion Targeted monitoring of HAI should be carried out in the key department and the key sites of HAI,and active intervention should be taken to reduce HAI. Management to antimicrobial agents should to strengthened according to the situation of usage of antimicrobial agents.