某市三甲医院2020-2022年医院感染调查与分析

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中文摘要：目的回顾调查清远市人民医院 2020 年 1 月—2022 年12 月医院感染的基本情况，分析该院医院感染现状，并对此提出有效的院感防控措施。方法采取回顾性调查方法，选取清远市人民医院 2020 年 1 月—2022 年 12 月医院感染相关数据进行统计分析。结果 2020、2021、2022 年感染例次分别为 875、611、304 例次，例次感染率分别为 1。13%、0。71%、0。38%，总例次感染率为 0。73%;医院感染率分别为 1。05%、0。66%、0。36%，3 年间比较差异有统计学意义(P＜0。001)。感染部位以下呼吸道感染构成比最高，其次为泌尿系统感染、上呼吸道感染。2020、2021 年医院感染发生率最高的科室依次为重症医学科、脑科病区、骨科病区，2022 年医院感染发生率最高的科室依次为脑科病区、重症医学科、妇科病区。检出病原菌 897 株，以革兰阴性菌为主，构成比为62。99%。结论该院 2020-2022 年住院患者医院感染率在控制指标范围内，虽然较低，但仍应加强对高发科室的目标性监测、高危人群的预防及医护人员的相关培训以控制医院感染的发生。

外文标题：Investigation and Analysis of Healthcare-Associated Infection in a Grade A Tertiary Hospital of a City From 2020 to 2022

外文摘要：Objective To review and investigate the basic situation of healthcare-associated infection in Qingyuan People's Hospital from January 2020 to December 2022,analyze the current situation of nhealthcare-associated infection,and put forward effective measures for the prevention and control of healthcare-associated infection.Methods The data of healthcare-associated infection in Qingyuan People's Hospital from January 2020 to December 2022 were analyzed retrospectively.Results In the year of 2020,2021,2022,there were 875,611,304 infection cases in the hospital,and the infection rate was 1.13%,0.71%,0.38%,respectively.The total infection rate was 0.73%.The healthcare-associated infection rates were 1.05%,0.66%,0.36%,respectively,and the difference of 3 years were statistically significant(P<0.001).The lower respiratory tract infection was the highest,followed by urinary system infection and upper respiratory tract infection.The departments with the highest incidence of healthcare-associated infection in 2020 and 2021 were the department of critical care medicine,the brain ward and the department of orthopedics.In 2022,the departments with the highest incidence of healthcare-associated infection were brain ward,critical care medicine department and gynecological ward.A total of 897 strains of pathogenic bacteria were detected,and Gram-negative bacteria were the main pathogens,with the proportion ratio of 62.99%.Conclusion The healthcare-associated infection rate of inpatients in the hospital from 2020 to 2022 is within the control index range.Although the healthcare-associated infection rate of the hospital is low,the targeted monitoring of high-incidence departments,prevention of high-risk groups and relevant training of medical staffshould be strengthened to control the occurrence of healthcare-associated infection.

外文关键词：

healthcare-associated infectioninfections ratepathogenepidemiological investigationhospital managementprevention and control

作者：

明建青、王燕、陈海萍

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作者单位：

广州医科大学附属清远医院/清远市人民医院重症医学科,广东清远 511518

关键词：

医院感染感染率病原体流行病学调查医院管理防控

出版年：

2024

DOI：