Investigation on prevention and control of infection at secondary or high-er-level hospitals in Baotou
Objective This study investigated prevention and control of nosocomial infection in Baotou City,Inner Mongolia,to provide a basis for hospitals to improve capacity for infection prevention and control.Methods In June 2023,a Questionnaire Star questionnaire was used to investigate nosocomial infection,and its prevention and control,in all second-ary or higher-level hospitals in Baotou(64 hospitals).The rank sum test was used to compare the incidence of various grades and categories of nosocomial infection,and chi-square test was used to compare the management and control ability of noso-comial infection in the different grades.Results The incidence of nosocomial infection in 64 hospitals was 0.324％(0.141％-0.793％).The prevalence rate of nosocomial infection was 1.216％(1.012％-2.004％),and the missing report rate for nosocomial infection was 0.537％(0.218％-2.733％).The incidence of nosocomial infection in secondary and tertiary hos-pitals was 0.301％(0.011％-0.623％)and 0.564％(0.239％-1.044％),respectively,and the difference was statistically signif-icant(Z=-2.476,P=0.013).The incidence of nosocomial infection in general and specialist hospitals was 0.483％(0.166％-0.917％)and 0.282％(0.044％-0.435％),respectively,and the difference was statistically significant(Z=-2.260,P=0.024).The infection rates of type Ⅰ incisions,ventilator-associated pneumonia,urinary catheters,and central venous catheters(PICC)were 0.060％(0-0.681％),0.000％(0-0.703％),0.000％(0-0.287％),and 0.001％(0-0.101％),respectively,whereas the third-tier hospitals had rates of 0.013％(0-0.270％),0.703％(0-1.540％),0.287％(0-1.400％),and 0.098％(0-0.101％),respectively.The differences were statistically significant(Z=-2.465,P=0.014;Z=-3.532,P＜0.001;Z=-3.573,P＜0.001;and Z=-2.636,P=0.008).Requirements were met in the construction of information systems,and differences were observed between secondary hospi-tals and tertiary hospitals(x2=26.506,P＜0.001).Conclusions Although the incidence and prevalence of nosocomial infec-tion at secondary and higher-level hospitals in Baotou area are relatively low,measures against nosocomial infections of venti-lator-associated pneumonia and urinary catheter related infections should be strengthened.Some measures are not in place for the prevention of nosocomial infection in some hospitals,particularly secondary hospitals;therefore,the supervision and management regarding nosocomial infection should be improved.
Nosocomial infectionIncidence rateInfection control
NETL
NSTL
万方数据
维普
