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武汉地区住院患者医院感染与社区感染现患率调查

刘小丽 梁建生 许慧琼 朱军生 邓兵 徐桂兰

中国感染控制杂志2017,Vol.16Issue(6):532-535,4.
中国感染控制杂志2017,Vol.16Issue(6):532-535,4.DOI:10.3969/j.issn.1671-9638.2017.06.009

武汉地区住院患者医院感染与社区感染现患率调查

Prevalence rates of healthcare-associated infection and community-associated infection in hospitalized patients in Wuhan City

刘小丽 1梁建生 1许慧琼 1朱军生 1邓兵 1徐桂兰1

作者信息

  • 1. 武汉市疾病预防控制中心 武汉市医院感染管理质量控制中心, 湖北 武汉 430015
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摘要

Abstract

Objective To investigate the prevalence rates of healthcare-associated infection(HAI) and community-associated infection(CAI) in hospitalized patients in Wuhan City, and provide a scientific basis for the prevention and control of HAI.Methods Convenience sampling method was used to select 33 hospitals in Wuhan City, all hospitalized patients were surveyed by bedside investigation and medical record reviewing, SPSS 16.0 software was used for data analysis.Results A total of 36 222 hospitalized patients were investigated, of whom 1 116 (3.08%) had HAI, 6 968 (19.24%) had CAI.The prevalence rate of HAI was highest in hospitals with ≥900 beds(3.40%), and the prevalence rate of CAI was highest in hospitals with<300 beds (43.70%).Of departments, general intensive care unit had the highest prevalence rate of HAI(32.88%), department of respiratory diseases had the highest prevalence rate of CAI (78.34%).A total of 699 pathogens were isolated from patients with HAI, the top three were Pseudomonas aeruginosa (18.03%), Acinetobacter baumannii (16.31%) and Staphylococcus aureus (12.88%), a total of 1 149 pathogens were isolated from patients with CAI, the top three were Escherichia coli (14.45%), Pseudomonas aeruginosa (11.23%), and Mycoplasma (10.01%).The main infected sites of both HAI and CAI were the lower respiratory tract, accounting for 48.24% and 45.15% respectively.Conclusion HAI and CAI have different characteristics, it is necessary to take targeted measures according to key departments and key sites, so as to reduce the occurrence of HAI effectively.

关键词

医院感染/社区感染/现患率/调查

Key words

healthcare-associated infection/community-associated infection/prevalence rate/investigation

分类

医药卫生

引用本文复制引用

刘小丽,梁建生,许慧琼,朱军生,邓兵,徐桂兰..武汉地区住院患者医院感染与社区感染现患率调查[J].中国感染控制杂志,2017,16(6):532-535,4.

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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