Survey of prevalence rates of nosocomial infections among 159 medical institutions of Shaanxi Province in 2022
OBJECTIVE To understand the current status of nosocomial infection in the whole province so as to pro-vide bases for data of regionalized indexes.METHODS By means of cross-sectional survey,bedside survey com-bined with case survey was conducted to investigate the prevalence rates of nosocomial infections among the 159 medical institutions of Shaanxi Province from Jul 15 2022 to Dec 31 2022.RESULTS A total of 68 945 hospitalized patients were enrolled in the survey,630 of whom had nosocomial infection,with the infection rate 0.91%;667 case-times of patients had nosocomial infection,with the case-time infection rate 0.97%.The infection rate was the highest in Baoji(1.61%),the lowest in Yulin(0.56%).Lower respiratory tract(43.48%),urinary trat(11.99%)and upper respiratory tract(10.04%)ranked the top 3 sites of infections.The top 5 departments rank-ing the high incidence rates of nosocomial infections were in turn as follows:comprehensive ICU(10.15%),neu-rosurgery department(4.76%),hematology department(3.73%),burn department(2.11%)and neonatology department(2.09%).The infection rate was 2.19%among the patients undergoing type Ⅰ incision surgery,the utilization rate of antibiotics for prophylaxis was 38.15%among the type Ⅰ incision surgery patients.There were significant differences in the prevalence rate of nosocomial infection,utilization rate of antibiotics and infection rate of the type Ⅰ incision surgery patients among the medical institutions with different number of beds(x2=120.240,198.165,5.732,all P<0.001).CONCLUSION It is necessary to focus on the prevalence of nosocomial infection in burn department,neonatology department and surgical site infection as well as reasonable use of antibiotics.The survey of the prevalence rates may provide data support for prevention and control of nosocomial infection in the whole province.