中国感染控制杂志2016，Vol.15Issue(9)：665-670,6.DOI:10.3969/j.issn.1671-9638.2016.09.006
中国医院感染管理部门在抗菌药物合理应用与管理工作中的发展状况
Development situation of healthcare-associated infection management de-partments in the rational antimicrobial application and management in China
摘要
Abstract
Objective To understand the development situation of healthcare-associated infection (HAI)manage-ment departments in the rational antimicrobial application and management in hospitals in China.Methods A total of 166 hospitals from 12 provinces,municipalities,autonomous regions,and military hospitals were selected for survey,the participation of HAI management departments in the rational clinical antimicrobial application and man-agement in different years was compared.Results Of 166 hospitals,68(40.96%)in 2005,119(71.69%)in 2010, and 160(96.39%)in 2015 participated in the establishment of management organizations for rational antimicrobial application (χ2 =121.143,P <0.001).The percentage of HAI management departments participating in antimicro-bial management increased from 10.24%(n=17)in 2005 to 22.29%(n=37)in 2010,and 31.33%(n=52)in 2015 (χ2 =22.172,P < 0.001 ).The percentages of HAI management departments participating in formulating cata-logues for antimicrobial varieties and classification,stipulating permission for antimicrobial use,joining antimicrobi-al management teams,monitoring bacterial resistance,managing antimicrobial prophylaxis in clean incision,super-vising clinical antimicrobial use,conducting clinical consultation,and evaluating prescription were 10.87% -30.72% in 2005,25.90%-65.06% in 2010,and 36.14%-95.18% in 2015 (all P <0.01).Intensity of antimicro-bial use (defined daily dose/100 bed-days,DDD/ 100 bed-days)decreased from 69.16 in 2005 to 41.40 in 2015, antimicrobial usage rate decreased from 46.98% in 2005 to 36.90% in 2015,among patients receiving therapeutic antimicrobial use,specimens sending for pathogenic detection increased from 20.58% in 2005 to 49.39% in 2015. Conclusion Departments of HAI management in China play important role in management of rational antimicrobial application.关键词
医院感染管理科/抗菌药物/合理用药/抗菌药物使用强度/医院感染Key words
department of healthcare-associated infection management/antimicrobial agent/rational antimicrobial use/antimicrobial use density/healthcare-associated infection分类
医药卫生引用本文复制引用
李春辉,武迎宏,邢亚威,李卫光,杨怀,杨芸,张卫红,刘剑,谢建忠,吴安华,刘思娣,李六亿,侯铁英,丁丽丽,刘卫平,罗晓黎,马红秋,建国..中国医院感染管理部门在抗菌药物合理应用与管理工作中的发展状况[J].中国感染控制杂志,2016,15(9):665-670,6.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 （）
