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某市50所二级及以上医院连续6年医院感染监测指标调查

孙海霞 马樑 张阳 张苗苗 冯柳芳

中国感染控制杂志2024,Vol.23Issue(1):66-71,6.
中国感染控制杂志2024,Vol.23Issue(1):66-71,6.DOI:10.12138/j.issn.1671-9638.20244474

某市50所二级及以上医院连续6年医院感染监测指标调查

Monitoring indexes of healthcare-associated infection in 50 secondary or higher grade hospitals in a city for consecutive 6 years

孙海霞 1马樑 2张阳 1张苗苗 1冯柳芳1

作者信息

  • 1. 邢台市中心医院医院感染管理科,河北邢台 054000
  • 2. 河北医科大学临床医学,河北石家庄 050000
  • 折叠

摘要

Abstract

Objective To understand the changing trend of healthcare-associated infection(HAI)monitoring inde-xes in 50 secondary and higher grade hospitals in a city for 6 consecutive years from 2017 to 2022.Methods Infec-tion monitoring indexes from 50 secondary or higher grade hospitals in the city for 6 consecutive years were collec-ted,and changing trend of HAI monitoring indexes were compared.Results The number of full-time HAI manage-ment professionals increased from 91 in 2017 to 165 in 2022.The utilization rate of HAI information system in-creased from 17.00%in 2017 to 54.00%in 2022.In 6 consecutive years from 2017 to 2022,the incidence of HAI(0.91%vs 0.59%),prevalence rate of HAI(2.36%vs 1.08%),infection rate of class I incision surgical site in-fection(0.33%vs 0.16%)in 50 secondary or higher grade hospitals all showed downward trends,while health care workers'hand hygiene compliance rate showed an upward trend(61.03%vs 85.04%).Incidences of vascular cathe-ter-related bloodstream infection,ventilator-associated pneumonia,and catheter-associated urinary tract infection all showed downward trends.Incidence of HAI,prevalence rate of HAI,health care workers'hand hygiene compli-ance rate,and incidence of ventilator-associated pneumonia in tertiary hospitals were all higher than those in secon-dary hospitals,while surgical site infection rate of class Ⅰ incision in secondary hospitals was higher than that in tertiary hospitals,with statistically significant differences(all P<0.001).Conclusion Standardizing the monitoring of HAI,as well as improving the prevention and control system and measures of HAI according to the monitoring results can reduce the incidence of HAI.

关键词

医院感染/目标性监测/综合性监测/多重耐药菌

Key words

healthcare-associated infection/targeted monitoring/comprehensive monitoring/multidrug-resistant organism

分类

医药卫生

引用本文复制引用

孙海霞,马樑,张阳,张苗苗,冯柳芳..某市50所二级及以上医院连续6年医院感染监测指标调查[J].中国感染控制杂志,2024,23(1):66-71,6.

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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