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2012-2016年医院感染现患率调查

孙芳艳 张国杰 郭勤 张占杰 王爱 徐英春 秦明伟

协和医学杂志2016,Vol.7Issue(4):259-263,5.
协和医学杂志2016,Vol.7Issue(4):259-263,5.DOI:10.3969/j.issn.1674-9081.2016.04.004

2012-2016年医院感染现患率调查

Survey on Prevalence of Hospital-acquired Infection from 2012 to 2016

孙芳艳 1张国杰 1郭勤 1张占杰 1王爱 1徐英春 2秦明伟1

作者信息

  • 1. 中国医学科学院 北京协和医学院 北京协和医院 1 医务处
  • 2. 检验科,北京100730
  • 折叠

摘要

Abstract

Objective To investigate the prevalence of hospital-acquired infection ( HAI ) in a hospital and its change over time , so as to better prevent and control HAI .Methods A cross-sectional survey on preva-lence of HAI was carried out among all hospitalized patients in Peking Union Medical College Hospital on Decem -ber 12, 2012, December 4, 2013, May 21, 2014, May 20, 2015, and May 11, 2016, respectively.The data related to HAI in these five years were analyzed .Results The prevalence rate of HAI in the five years from 2012 to 2016 was 6.67%, 6.33%, 5.66%, 5.16%, and 4.65%, respectively, appearing to be reducing over time.The intensive care unit (ICU) had the highest infection prevalence.The top infection site was lower respiratory tract, accounting for 40.88% of all the HAI; followed by urinary tract ( 10.81%) and surgical site (9.97%) .Gram-negative bacteria were the main pathogens of HAI , accounting for 63.16%.Multidrug-resistant organisms ( MDROs) accounted for 32.85%of the total detected bacteria .Conclusions The preva-lence of HAI appears to be decreasing year by year , suggesting the effect of hospital infection management and control.ICU and lower respiratory tract infection are still the focus of HAI control .HAI control is currently faced with the threat of MDROs .Contact isolation for patients with MDROs infection is equally important as ra-tional use of antimicrobial drugs .

关键词

医院感染/现患率/感染部位/多重耐药菌

Key words

hospital-acquired infection/prevalence/infection site/multidrug-resistant organisms

分类

医药卫生

引用本文复制引用

孙芳艳,张国杰,郭勤,张占杰,王爱,徐英春,秦明伟..2012-2016年医院感染现患率调查[J].协和医学杂志,2016,7(4):259-263,5.

协和医学杂志

OACSTPCD

1674-9081

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