Improvement of special action'raising etiological submission rate for hospitalized patients before antibiotic treatment'in 41 hospitals of Zhengzhou
OBJECTIVE To understand the management modes of the special action'raising etiological submission rate for hospitalized patients before antibiotic treatment'in Zhengzhou and analyze the status of improvement.METHODS An online survey was conducted for 41 hospitals of Zhengzhou where the special action was carried out from Dec 1,2023 to Dec 5,2023.The descriptive analysis was performed the management status of the special action in sentinel hospitals and non-sentinel hospitals.The etiological submission rate before antibiotic treatment,related etiological submission rate for diagnosis of nosocomial infection and etiological submission rate before com-bined use of major antibiotics were observed and compared before and after the special action was carried out.RESULTS The expert team for the special action was established in 78.05％of the hospitals.'Arranging the per-sonnel of infection control department to rotate or learn in microbial laboratory'was the weak link of manage-ment,accounting for 25.00％in the sentinel hospitals and 21.21％in non-sentinel hospitals.The etiological sub-mission rate before antibiotic treatment was 60.27％(473262/785298)after the special action was carried out,reaching the target value;the related etiological submission rate for diagnosis of nosocomial infection was 74.04％(8158/11019),the etiological submission rate before combined use of major antibiotics was 92.03％(10610/11529),and both did not reach the target value.The three types of submission rates of the different grades,types and natures of hospitals were significantly higher after the special action was carried out than before the special ac-tion was carried out(P＜0.05).CONCLUSION The special action can effectively standardize the management mode and raise the indexes of etiological submission rate before antibiotic treatment,and it achieves preliminary effect.It is necessary to further strengthen the homogenized management of test items and sample quality control.
Antibiotic treatmentEtiological submissionHospital of ZhengzhouImprovement target
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