首页|2019-2023年成都市某中西医结合医院医院感染监测结果分析

2019-2023年成都市某中西医结合医院医院感染监测结果分析

扫码查看
目的 分析成都市某中西医结合医院医院感染(简称"院感")情况、多重耐药菌监测情况,评估2021年开始实施FOCUS-PDCA院感质量控制模式的效果,为进一步改进院感防控策略提供依据.方法 通过"医院感染和传染病实时监控平台"导出2019-2023年成都市某中西医结合医院院感病例资料,采用Excel 2010软件进行数据整理,SPSS 19.0软件对院感发生率、多重耐药菌院感发生率进行进行统计学描述和x2检验,以P<0.05为差异有统计学意义.结果 2019-2023年院感发病率分别为1.26%、1.28%、1.11%、1.03%和1.01%.2019-2020年平均院感发生率为1.27%,2021-2023年平均院感发生率为1.05%,2个时间段院感发生率差异有统计学意义(x2=38.52,P<0.001).2019-2023年院感发生率下降幅度较大的3个科室依次为心血管内科、骨科和重症医学科(x2分别为63.02、52.13和29.84,P均<0.001).感染发生部位排前3位依次为系统呼吸道(63.94%)、泌尿系统(11.35%)和血液系统(7.85%).2019-2023年多重耐药菌平均院感发生率为0.08%,各年度多重耐药菌院感发生率差异有统计学意义(x2=42.55,P<0.001);多重耐药菌平均院感例次率为0.09%,各年度多重耐药菌院感例次率差异有统计学意义(x2=49.00,P<0.001).结论 2021年实施FOCUS-PDCA院感质控模式后院感发生率明显降低,院感管理有一定成效.
Analysis of the surveillance results of hospital-acquired infection in a hospital of integrated traditional Chinese and Western Medicine in Chengdu from 2019 to 2023
Objective To analyze the hospital-acquired infections(HAIs)and the detection of multidrug-resistant organism(MDRO)in Chengdu Integrated Traditional Chinese and Western Medicine Hospital,to evaluate the effect of the implementation of nosocomial infection quality control of the FOCUS-PDCA model,and to provide basis for improving HAIs prevention and control strategies.Methods Through the Real-Time Monitoring Platform of Hospital Infections and Infectious Diseases,HAIs case information from 2019 to 2023 of the hospital was derived.The data were organized by Excel 2010,and the incidence rates of HAIs and MDRO were statistically described by SPSS 19.0 and x2 test was conducted.P<0.05 was considered to be statistically significant.Results The incidence rates for HAIs from 2019 to 2023 were 1.26%,1.28%,1.11%,1.03%and 1.01%,respectively,with an average incidence rate of 1.27%from 2019 to 2020 and 1.05%from 2021 to 2023.The difference in HAIs incidence rates between the two periods was statistically significant(x2=38.52,P<0.001).The three departments with greater decreases in HAIs incidence from 2019 to 2023 were,in order,Cardiovascular Medicine,Orthopedics and Critical Care Medicine(x2=63.02,52.13 and 29.84,respectively;P<0.001).The top three body sites being prone to infections were,inorder,the respiratory system(63.94%),the urinary system(11.35%),and the hematologic system(7.85%).The average incidence rate of MDRO in HAIs from 2019 to 2023 was 0.08%,with a statistically significant difference in the rate among different years(x2=42.55,P<0.001).The average case rate of MDRO of HAIs from 2019 to 2023 was 0.09%,with a statistically significant difference in the rate among different years(x2=49.00,P<0.001).Conclusions The FOCUS-PDCA model implemented in 2021 was effective in reducing the incidence of HAIs and hospital infection management.

hospital-acquired infectionsinfection ratemanagement model

曹文萍、胥建君、张渝婧、张涵

展开 >

成都市中西医结合医院,成都 610041

医院感染 感染率 管理模式

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(8)
  • 14