贵州省2019年12所医疗机构医院感染监测平台过程类数据与结果类数据比较

Comparison of process and outcome data of healthcare-associated infection monitoring platforms in 12 medical institutions in Guizhou Province in 2019

目的通过比较医疗机构在贵州省医院感染监测数据平台上报的过程类数据和结果类数据,了解医疗机构医院感染质量控制指标真实情况。方法采用回顾性调查方式,分别采集加入贵州省医院感染监测平台的医疗机构上报的2019年1月1日—12月31日医院感染管理质量控制指标过程类数据和结果类数据,并进行统计分析。结果共收集贵州省12所医疗机构医院感染监测过程类数据和结果类数据,医院感染发病率分别为1.03%、1.15%,医院感染现患率分别为1.37%、2.31%,抗菌药物使用率分别为50.33%、48.65%,住院患者抗菌药物治疗前病原学送检率分别为13.90%、37.70%,Ⅰ类切口的手术部位感染率分别为0.13%、0.29%,中央导管相关血流感染(CRBSI)日发病率分别为0.06‰、0.50‰,导尿管相关泌尿道感染(CAUTI)日发病率分别为1.11‰、1.60‰。12所医疗机构的CRPA和CRKP检出率、住院患者抗菌药物使用率过程类数据较结果类数据高,差异均具有统计学意义(均P<0.05)。结论医院感染监测过程类数据比结果类数据更准确,各地区应积极推动过程类数据的上报工作,加强医院感染管理质量控制指标真实性上报工作。

Objective To understand the real situation of healthcare-associated infection(HAI)quality control indexes of medical institutions(MIs)through comparison of process and outcome data reported by MIs on HAI monitoring data platform in Guizhou Province.Methods Process and outcome data of HAI management quality control indexes reported by MIs participating in HAI monitoring platform of Guizhou Province from January 1 to December 31,2019 were collected by retrospective survey and statistically analyzed.Results Process and outcome data of HAI monitoring of 12 MIs in Guizhou Province were collected.HAI incidences were 1.03%and 1.15%;HAI prevalence rates were 1.37%and 2.31%;antimicrobial agents usage rates were 50.33%and 48.65%;inpatients’pathogen examination rates before antimicrobial treatment were 13.90%and 37.70%;surgical site infection rates of class I incision were 0.13%and 0.29%;incidences of catheter-related bloodstream infection(CRBSI)were 0.06‰and 0.50‰;incidences of catheter-associated urinary tract infection(CAUTI)were 1.11‰and 1.60‰.Referring to the detection rates of carbapenem-resistant Acinetobacter baumannii(CRPA)and carbapenem-resistant Klebsiella pneumoniae(CRKP),and inpatients’antimicrobial usage rates in 12 MIs,all process data were higher than outcome data with statistical difference(all P<0.05).Conclusion Process data of HAI monitoring is more accurate than outcome data.All regions should actively promote the reporting of process data,and improve the authenticity of HAI management quality control indexes.