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中国医院感染监测工作的发展及变化趋势

任南建国武迎宏邢亚威李卫光杨怀杨芸张卫红刘运喜林玲吴安华细毛付陈超李六亿侯铁英丁丽丽刘卫平罗晓黎马红秋

中国感染控制杂志2016，Vol.15Issue(9)：642-647,6.

中国感染控制杂志2016，Vol.15Issue(9)：642-647,6.DOI:10.3969/j.issn.1671-9638.2016.09.002

中国医院感染监测工作的发展及变化趋势

Development and changing trend in monitoring of healthcare-associated in-fection in China

任南 ¹建国 ²武迎宏 ³邢亚威 ⁴李卫光 ⁵杨怀 ⁶杨芸 ⁷张卫红 ⁸刘运喜 ⁹林玲 ¹⁰吴安华 ¹细毛 ¹付陈超 ¹李六亿 ¹¹侯铁英 ¹²丁丽丽 ¹³刘卫平 ¹⁴罗晓黎 ¹⁵马红秋¹⁶

作者信息

1. 中南大学湘雅医院，湖南长沙 410008
2. 郑州大学第一附属医院，河南郑州 450052
3. 北京大学人民医院，北京 100044
4. 河北医科大学第四医院，河北石家庄 050019
5. 山东省立医院，山东济南 250021
6. 贵州省人民医院，贵州贵阳 550002
7. 山西医学科学院山西大医院，山西太原 030032
8. 江苏省人民医院，江苏南京 210029
9. 解放军总医院，北京 100853
10. 黑龙江省疾病预防控制中心，黑龙江哈尔滨 150030
11. 北京大学第一医院，北京 100034
12. 广东省人民医院，广东广州 510008
13. 新疆医科大学第一附属医院，新疆乌鲁木齐 830054
14. 内蒙古自治区人民医院，内蒙古呼和浩特 010017
15. 江西省儿童医院，江西南昌 330006
16. 安徽医科大学第一附属医院，安徽合肥 230022
折叠

摘要

Abstract

Objective To summarize the effectiveness in monitoring activities for healthcare-associated infection (HAI)in China in the past 30 years,explore the changing trend in HAI monitoring,find a new model for the moni-toring of HAI in China.Methods A total of 194 comprehensive hospitals and military hospitals in 13 provinces (au-tonomous regions,municipalities)were selected,questionnaire survey was adopted to investigate the situation of HAI monitoring.Results Of 194 hospitals,184 (94.85%)had available data after being checked,incidence of HAI in secondary and tertiary hospitals were 0.78% and 1.58% respectively,difference was significant (P <0.01).Monitoring was divided into two stages,cumulative percentage of each monitoring activity before 2006 and during 2006-2016 were respectively as follows:environmental hygiene were 73.91% and 100.00%,disinfection ef-ficacy 69.57% and 97.28%,overall comprehensive monitoring 64.67% and 98.91%,surgical site infection(SSI) 13.04% and 94.57%,ICU HAI 4.89% and 87.50%,neonatal HAI 1.75% and 60.82%,multidrug-resistant or-ganisms(MDROs)5.43% and 95.65%,hand hygiene compliance 2.17% and 93.48%,antimicrobial agents 15.22% and 87.50%.The reporting rate of HAI outbreak in tertiary hospitals was higher than secondary hospitals (33.33% [n=37]vs 16.44%[n=12],P =0.01).Conclusion The monitoring of HAI in China starts late,but develops rapidly,defects still exist in HAI monitoring system,reporting rate of HAI cases is still high,reporting rate of HAI outbreak is low.

关键词

医院感染/全面综合性监测/目标性监测/环境卫生学/多重耐药菌/手卫生

Key words

healthcare-associated infection/overall comprehensive monitoring/targeted monitoring/environmen-tal hygiene/multidrug-resistant organism/hand hygiene

分类

医药卫生

引用本文复制引用

任南,建国,武迎宏,邢亚威,李卫光,杨怀,杨芸,张卫红,刘运喜,林玲,吴安华,细毛,付陈超,李六亿,侯铁英,丁丽丽,刘卫平,罗晓黎,马红秋..中国医院感染监测工作的发展及变化趋势[J].中国感染控制杂志,2016,15(9):642-647,6.

基金项目

中国医院协会《中国医院感染管理工作30周年总结》项目（）

中国感染控制杂志

OA北大核心CSTPCD

ISSN：1671-9638

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