中国感染控制杂志2016，Vol.15Issue(3)：155-159,5.DOI:10.3969/j.issn.1671-9638.2016.03.003
贵州省布依族自治州医院感染现患率与抗菌药物使用情况调查
Point prevalence of healthcare-associated infection and antimicrobial use in Buyi autonomous prefecture hospitals in Guizhou Province
摘要
Abstract
Objective To explore the status of healthcare-associated infection(HAI)in hospitals in Buyi autono-mous prefecture of Guizhou Povince,and provide basis for formulating HAI control measures.Methods A survey was conducted by combined methods of bed-side survey and medical record reviewing,prevalence rates of secondary and above hospitals in Buyi autonomous prefecture in Guizhou Province between September 10 and October 5,2014 were surveyed.Results 6 577 hospitalized patients should be investigated,6 541(99.45%)were actually investiga-ted.The prevalence rate and case prevalence rate of HAI were 1 .83% (n=120)and 1 .94%(n=127)respectively. The top three departments of HAI distribution were intensive care unit (26.32%),neurosurgery (6.10%),and neonatal intensive care unit(5.13%);the main infection site was lower respiratory tract(n=39,30.71 %),followed by skin-soft tissue (n=24,18.90%)and superficial incision (n=23,18.11 %).58 pathogenic isolates were detec-ted,gram-negative bacteria were the major pathogens (n=44),gram-positive bacteria and fungi were 10 and 3 iso-lates respectively.Antimicrobial usage rate at survey day was 42.12%,64.75% of which were for therapeutic, 26.83% for prophylactic,and 8.42% for therapeutic+prophylactic use;the percentage of mono-drug,two drugs combination,and three or more drugs combination use were 79.53%,19.89%,and 0.58% respectively;bacterial detection rate in patients receiving therapeutic as well as therapeutic+prophylactic antimicrobial use was 13.76%. Conclusion Survey on prevalence of HAI is helpful for understanding the current status of HAI,monitoring on HAI in key departments of hospital and key sites of patients should be strengthened to reduce the occurrence HAI effectively.关键词
医院感染/现患率/患病率/病原菌/抗菌药物/合理用药Key words
healthcare-associated infection/prevalence rate/incidence/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..贵州省布依族自治州医院感染现患率与抗菌药物使用情况调查[J].中国感染控制杂志,2016,15(3):155-159,5.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 （）
