四川省中医院与西医院医院感染现患率调查结果对比分析

Comparative analysis of the survey results of the prevalence rate of nosocomial infection in traditional Chinese medicine hospital and Western medicine hospital in Sichuan Province

目的:比较分析四川省中医院与西医院在医院感染现患率方面的差别,为两种类型医院的医院感染管理提供科学的参考依据。方法:2020年调查当日四川省各医院采用现场评估和查阅资料相结合的方法开展医院感染现患率调查,经分层抽样获得87所中医院与89所西医院数据。结果:中医院与西医院医院感染现患率最高的地区均为广安市(1.87%),两种类型医院在规模上的差别没有统计学意义(P>0.05),医院感染平均现患率分别为1.04%、1.42%;中医院与西医院手术部位平均感染率依次为0.55%、0.60%;中医院抗菌药物平均使用率为31.59%,病原学平均送检率为11.07%,西医院抗菌药物平均使用率为32.74%,病原学平均送检率为16.33%,床位数“<300”张的两种类型医院抗菌药物使用率与床位数“≥900”张的两种类型医院病原学送检率差异无统计学意义(P>0.05)。结论:四川省中医院医院感染平均现患率略低于西医院,但不排除漏报瞒报的情况。两种类型的医院均应重视医院感染的监测与上报工作,严格限制抗菌药物的使用,重视规范病原学送检,提高病原学送检率。

Objective:To compare and analyze the difference in the prevalence rate of nosocomial infection between traditional Chinese medicine(TCM)hospital and Western medicine hospital in Sichuan Province,so as to provide scientific references for the management of nosocomial infection in the two types of hospitals.Method:The survey on the prevalence rate of nosocomial infection in various hospitals in Sichuan Province in 2020 was conducted by combining onsite assessment with data review.The data of 87 TCM hospitals and 89 Western medicine hospitals were obtained by stratified sampling.Result:The area with the highest prevalence rate of nosocomial infection in TCM hospitals and Western medicine hospitals was Guang'an City(1.87%).There was no significant difference in the scale between the two types of hospitals(P>0.05).The average prevalence rates of nosocomial infection were 1.04%and 1.42%,respectively.The average infection rates of surgical sites in TCM hospitals and Western medicine hospitals were 0.55%and 0.60%,respectively.The average utilization rate of antibacterial drugs in TCM hospitals was 31.59%,and the average submission rate of etiology was 11.07%.The average utilization rate of antibacterial drugs in Western medicine hospitals was 32.74%,and the average submission rate of etiology was 16.33%.There was no significant difference in the utilization rate of antibacterial drugs between the two types of hospitals with beds"<300"and beds"≥900"(P>0.05).Conclusion:The average prevalence rate of nosocomial infection in TCM hospital is slightly lower than that in Western medicine hospital,but underreporting and concealment cannot be ruled out.Both types of hospitals should attach importance to the monitoring and reporting of nosocomial infection,strictly limit the use of antibacterial drugs,pay attention to standardizing pathogen submission,and improve pathogen submission rate.