中国感染控制杂志2017，Vol.16Issue(12)：1126-1129,1136,5.DOI:10.3969/j.issn.1671-9638.2017.12.005
河北省253所医院住院患者医院感染与社区感染现患率比较
Prevalence rates of healthcare-associated infection and community-associated infection in hospitalized patients in 253 hospitals of Hebei Province
摘要
Abstract
Objective To investigate prevalence of healthcare-associated infection(HAI) and community associated infection(CAD in hospitalized patients in Hebei Province.Methods A certain day from August 17 to August 28,2015 was selected as the survey day,unified questionnaires were formulated,the prevalence of HAI and CAI in hospitalized patients in secondary and above comprehensive hospitals in Hebei Province was surveyed,pathogens causing infection were analyzed and compared.Results A total of 65 065 patients in 253 hospitals were surveyed,prevalence rates of HAI and CAI were 2.89％ and 16.84％ respectively.The top three sites of HAI were respiratory tract(61.32％),urinary tract(12.49％),and surgical site(9.83％),the top three sites of CAI were respiratory tract (56.70％),urinary tract(10.89％),and gastrointestinal tract(8.35％).Distribution of sites of HAI and CAI was significantly different(P＜0.01).The top 5 pathogens were of the same species,but ranked differently,the main bacteria causing HAI was Pseudomonas aeruginosa (22.69％),CAI was Escherichia coli (23.79％).There was significant difference in the distribution of pathogens between HAI and CAI (P＜0.01).There were significant differences in pathogenic species causing respiratory tract,gastrointestinal tract,urinary tract,and intra abdominal infection(all P＜0.05).Isolation rates of extended spectrum β-lactamase-producing/carbapenem-resistant Klebsiella pneumoniae,methicillin-resistant Staphylococcus aureus between HAI and CAI were all significantly different(all P ＜0.001).Conclusion Incidence of infection,infection sites,as well as constituent of pathogens and multidrugresistant organisms between HAI and CAI are varied,besides monitoring on HAI,monitoring on drug resistance of pathogens causing CAI should be paid attention,so as to provide scientific basis for rational antimicrobial use in clinical practice.关键词
现患率/医院感染/社区感染/调查Key words
prevalence rate/healthcare-associated infection/community-associated infection/survey分类
医药卫生引用本文复制引用
刘晓,王彤,蒋怡芳,邢亚威,刘志广,王媛,杨兴肖,孔洁羽..河北省253所医院住院患者医院感染与社区感染现患率比较[J].中国感染控制杂志,2017,16(12):1126-1129,1136,5.基金项目
河北省卫生厅青年科技课题(20150316) （20150316）
