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.