Effectiveness of a hospital-acquired infection surveillance information system combined with comprehensive interventions in hospital-acquired infection management
OBJECTIVE To investigate the effectiveness of hospital-acquired infection surveillance information sys-tems combined with integrated interventions in hospital-acquired infection management.MEHODS The nosocomi-al infection status of inpatients inXi'an People's Hospital(Xi'an No.4 Hospital)from Jan.2013 to Dec.2023 were selected,and a series of comprehensive and progressive measures were implemented,including the application of real-time monitoring and intelligent early warning of nosocomial infections management software,improvement of the compliance rate of hand hygiene of healthcare personnel,establishment of a workgroup for monitoring doctors and nurses,risk management of key department,early warnings value management for positive test results,time-ly feedback through"information feedback sheets","nosocomial infection bulletin","quality inspection review",et al.,and the monitoring status from Jan.2014 to Dec.2023(after intervention)and Jan.2014 to Dec.2013(be-fore intervention)were analyzed.RESULTS A total of 579,762 cases were monitored,and 2,019 nosocomial infec-tions occurred,with an infection rate of 0.35％;Before and after the intervention,the rate of nosocomial infection dropped from 0.91％to 0.22％(P＜0.05),and the incidence of nosocomial infection with multidrug-resistant or-ganisms dropped from 0.16％to 0.03％.The rate of surgery site infection dropped from 1.37％to 0.02％;The rate of hand hygiene compliance increased from 63.60％to 83.01％(P＜0.05).the rate of nosocomial infection in the Department of Intensive Care Unit decreased from 2.77％to 1.38％.The rate of nosocomial infection in neo-nates decreased from 0.50％to 0.31％,with difference not statistically significant.Nosocomial infections were predominately in the lower respiratory tract sputum specimens(41.25％).Multidrug-resistant Escherichia coli(53.39％)was dominant.CONCLUSION Hospital-acquired infection surveillance information systems combined with comprehensive interventions were effective in reducing the nosocomial infections,the incidence of nosocomial infections and those caused by multidrug-resistant organisms.
Hospital-acquired infectionSurveillance information systemsComprehensive interventions
万方数据
维普
