中国感染控制杂志Issue(1)：10-14,5.DOI:10.3969/j.issn.1671-9638.2016.01.002
2014年贵州省苗族侗族自治州医院感染横断面调查
Cross-sectional survey on healthcare-associated infection in Miao and Dong Autonomous Prefecture of Guizhou Province in 2014
摘要
Abstract
Objective To investigate the current situation of healthcare-associated infection(HAI)in hospitals of Miao and Dong Autonomous Prefecture of Guizhou Province,and provide basis for formulating prevention and con-trol measures of HAI.Methods According to the unified plan of the National HAI Surveillance Network,26 hospi-tals in Miao and Dong Autonomous Prefecture of Guizhou Province were performed cross-sectional survey on HAI prevalence rate,antimicrobial use,and specimen bacterial culture rate.Results A total of 3 tertiary and 23 seconda-ry hospitals were investigated,7 799 inpatients were included,the prevalence rate of HAI was 2.54%(n =198), and case prevalence rate was 2.65% (n=205).HAI mainly distributed in intensive care unit (29.63%);the main infection site was lower respiratory tract (44.44%);HAI mainly caused by gram-negative bacteria,the major pathogens were Escherichia coli ,Pseudomonas aeruginosa ,and Klebsiella pneumoniae .The usage rate of antimi-crobial agents was 45.66%,secondary hospitals was higher than tertiary hospitals (53.65% vs 31 .14%,χ2 =148.53,P <0.001 ).74.02% of antimicrobial agents were for therapeutic purpose,19.77% for prophylaxis,and 6.21 % for both prophylactic and therapeutic application;81 .02% of patients received one agent,17.21 % received two,and 1 .77% received three and more agents;among patients who received antimicrobials for therapeutic as well as for both therapeutic and prophylactic purpose,only 29.37% were sent specimens for pathogenic detection.Conclusion The prevalence rate in this region is lower than national average level,antimicrobial usage rate is lower than national standard,management of key departments and key sites should be strengthened,antimicrobial agents,especially used in secondary hospitals should be used rationally.关键词
医院感染/现患率/病原体/抗菌药物/合理用药Key words
healthcare-associated infection/prevalence rate/pathogen/antimicrobial agent/rational drug use分类
医药卫生引用本文复制引用
陈黎媛,伍红艳,邱钟燕,杨怀,牟霞,徐艳,陈京,杨廷秀,张曼,张满..2014年贵州省苗族侗族自治州医院感染横断面调查[J].中国感染控制杂志,2016,(1):10-14,5.基金项目
国家自然科学基金（[2015]G0308）；贵州省科技厅基金（2273号）；贵州省科技厅 （）
