首页|2017-2023年某院传染病患者医院感染综合性监测分析

2017-2023年某院传染病患者医院感染综合性监测分析

扫码查看
目的 通过对传染病专科医院2017-2023年医院感染综合性监测,了解医院感染变化趋势及特点,为医院感染防控管理提供依据。方法 收集2017-2023年某院医院感染监测指标,对医院感染率、不同病区医院感染率、医院感染部位、医院感染病原菌分布及易感因素进行统计分析。结果 2017-2023年共收治患者93 254例,医院感染率和感染例次率呈下降趋势(P<0。05)。艾滋病病区患者感染例次率为3。75%,高于结核病病区的0。79%(P<0。05),且2017-2023年两个病区患者医院感染例次率呈下降趋势(P<0。05)。感染部位以呼吸系统(61。56%)、血液系统(9。44%)和泌尿系统(8。61%)为主。共检出病原菌803株,以革兰氏阴性菌为主(63。89%),前5位依次是肺炎克雷伯菌(16。19%)、大肠埃希菌(15。57%)、鲍曼不动杆菌(10。83%)、铜绿假单胞菌(8。84%)和金黄色葡萄球菌(7。22%)。易感因素前3位分别是免疫功能低下(58。78%)、长期使用抗生素(11。29%)和使用呼吸机(9。20%)。结论 主动开展医院感染监测能准确掌握发病趋势,为防控重点提供方向和数据支撑。
Comprehensive surveillance analysis of nosocomial infection in patients with infectious disease during 2017-2023
Objective To understand the change trend and characteristics of nosocomial infection through the comprehensive surveillance on nosocomial infection in infectious diseases specialized hospitals dur-ing 2017-2023 to provide an evidence for the prevention,control and management of nosocomial infection.Methods The surveillance indicators of nosocomial infection in a hospital during 2017-2023 were collected.The nosocomial infection rate,nosocomial infection rate in different inpatient wards,nosocomial infection sites,nosocomial infection pathogenic bacterial distribution and susceptibility factors conducted the statistical analysis.Results A total of 93 254 patients were admitted and treated during 2017-2023.The nosocomial in-fection rate and infection case-times rate showed the decreasing trend(P<0.05).The case-times rate of the patients in the AIDS wards was 3.75%,which was higher than 0.79%in the tuberculosis wards(P<0.05).The nosocomial infection case-times rate in the two wards areas during 2017-2023 showed the decreasing trend(P<0.05).The infection sites were mainly the respiratory system(61.56%),blood system(9.44%)and urinary system(8.61%).A total of 803 strains of pathogenic bacteria were detected out,which were mainly Gram negative bacteria(63.89%),the top five were in turn Klebsiella pneumoniae(16.19%),Esche-richia coli(15.57%),Acinetobacter baumannii(10.83%),Pseudomonas aeruginosa(8.84%)and Staphylo-coccus aureus(7.22%).The top three of susceptibility factors were low immune function(58.78%),long term antibiotic use(11.29%)and ventilator use(9.20%).Conclusion Initiatively carrying the hospital infec-tion surveillance could accurately grasp the incidence trends and provide the direction and data support for pre-vention and control priorities.

nosocomial infectioncomprehensive surveillanceinfectious diseasespulmonary tuberculo-sisAIDS

刘亚兰、谢娟、邓雯文、黄娅玲、李同心、孙庆云、苏世芳、李佩林

展开 >

重庆市公共卫生医疗救治中心疾病预防控制与公共卫生研究中心,重庆 400036

重庆市公共卫生医疗救治中心中心实验室,重庆 400036

医院感染 综合性监测 传染病 肺结核 艾滋病

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(23)