首页|2018-2022年贵州省医院感染监测过程类质控指标调查与趋势

2018-2022年贵州省医院感染监测过程类质控指标调查与趋势

Survey and trend of process quality control indexes for surveillance of nosocomial infection in Guizhou Province from 2018 to 2022

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目的 了解贵州省医院感染监测近5年的基本情况和特征,分析掌握全省医院感染的变化趋势,为进一步完善全省的医院感染防控措施提供依据.方法 通过过程类区域数据监测平台对2018年-2022年参与上报到该平台上的医院感染相关指标,包括:医院感染发病例次率、Ⅰ类切口手术部位感染率、呼吸机相关肺炎发病率、导尿管相关泌尿系感染发病率以及血管内导管相关血流感染发病率进行统计和分析.结果 2018年-2022年共监测住院患者3 537 328例,发生医院感染30 854例次,医院感染例次率为0.87％,全省医院感染发病例次率范围为0.72％～1.14％;Ⅰ类切口手术部位感染率为0.17％,范围为0.13％～0.25％;呼吸机相关肺炎发病率为1.524％0,范围为1.052‰～3.74‰;导尿管相关泌尿系感染发病率为0.669％0,范围为0.520‰～1.255‰;血管内导管相关血流感染发病率为0.094‰,范围为0.059％～0.122‰,除血管内导管相关血流感染发病率近5年未表现明显的变化趋势,其余指标均表现为下降趋势(P＜0.05).结论 全省医院感染发生情况总体呈现下降趋势,今后除了加强个性化和精细化的院感管理外,应注意对监测数据的核实和验证.
OBJECTIVE To understand the baseline situation and characteristics of monitoring of nosocomial infec-tion in Guizhou Province in nearly 5 years and analyze the varying trends of nosocomial infections in the whole province so as to provide basis for further completing the prevention and control measures for nosocomial infection.METHODS By means of the process based regional data monitoring platform,the nosocomial infection-related in-dexes that were reported to the platform from 2018 to 2022,including case-time rate of nosocomial infection,inci-dence rate of type Ⅰ incision surgical site infection,incidence rate of ventilator-associated pneumonia,incidence rate of urinary catheter-related urinary system infection and incidence rate of intravascular catheter-related blood-stream infection,were statistically analyzed.RESULTS A total of 3 537 328 hospitalized patients were monitored from 2018 to 2022,with 30 854 case-times in total,the case-time rate of nosocomial infect 0.87％,and the case-time rate of nosocomial infection ranged between 0.72％and 1.14％in the whole province.The incidence rate of type Ⅰ incision surgical site infection was 0.17％,ranging between 0.13％and 0.25％.The incidence rate of vent-ilator-associated pneumonia was 1.524‰,ranging between 1.052‰ and 3.748‰.The incidence rate of urinary catheter-related urinary system infection was 0.669‰,ranging between 0.520‰ and 1.255‰.The incidence rate of intravascular catheter-related bloodstream infection was 0.094‰,ranging between 0.059‰ and 0.122‰.The incidence rate of intravascular catheter-related bloodstream infection did not show remarkable varying trend in the nearly 5 years,and the rest of the indexes showed downward trends(P＜0.05).CONCLUSION The incidence of nosocomial infection generally shows downward trends in the whole province.It is necessary to enhance the indi-vidualized and refined management of nosocomial infection and pay attention to verification and validation of the monitored data.

Nosocomial infectionMonitoring platformCase-time rate of nosocomial infectionProcess quality control indexType Ⅰ incision infectionDevice-associated infectionGuizhou

林丹、查筑红、李凌竹、罗光英、王颜颜、黄冰、王敏

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贵州医科大学附属医院医院感染管理科,贵州贵阳 550004

医院感染 监测平台 医院感染发病例次率 过程类质控指标 Ⅰ类切口感染 器械相关感染 贵州

贵州省科技计划项目

黔科合基础-ZK[2021]一般476

2024

10.11816/cn.ni.2024-248011

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子：1.885
ISSN：1005-4529
年,卷(期)：2024.34(17)
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