|
|
Nosocomial infection in a second-grade general hospital from 2017 to 2020 |
Han Shuanghai1, Ma Dehui2, Xie Ming3, Long Yan4 |
Xingren People′s Hospital, Xingren 562300, China |
|
|
Abstract Objective To investigate the situation of nosocomial infection in a secondgrade general hospital and provide evidence for the prevention and control of nosocomial infection.Methods The data of inpatients in a hospital from January 1, 2017 to December 31, 2020 were retrospectively collected. The nosocomial infection cases were statistically analyzed, and the distribution characteristics of nosocomial infection cases were described in terms of the occurrence time, patients′ age, the infection sites and the pathogen submission for examination.Results The nosocomial infection incidence of a hospital from 2017 to 2020 were 0.52%, 0.58%, 0.64% and 0.36%, respectively, and there was significant difference in the nosocomial infection (χ2=25.795, P<0.05). The incidence of nosocomial infection in the intensive care unit was the highest in the 4 years, with the nosocomial infection rate of 3.74%. The main infection sites were respiratory system and surgical sites. The proportion of infected patients over 60 years old was 39.87%. The detection of pathogens showed that gramnegative bacteria were dominant.Conclusion Monitoring of nosocomial infection cases was underreported. The incidence of nosocomial infection was higher in departments with serious basic diseases such as the intensive care unit and the neurosurgery. The main infection sites were respiratory system sites and surgical sites. It is necessary to strengthen the mon itoring of nosocomial infection cases, strengthen the management of nosocomial infection in ICU and neurosurgery departments, strengthen the management of pathogen examination of infected patients, improve the compliance of hand hygiene of the medical staff, and reduce the occurrence of nosocomial infection.
|
Received: 28 January 2022
|
|
|
|
[1]刘文清,李岩,李彦.外科系统感染卫生经济学评价[J].解放军医院管理杂志,2015,22(9):883-885.DOI:10.16770/j.cnki.1008-9985.2015.09.010.
[2]杨俊林,查筑红,杨昆,等.贵州省234所医疗机构医院感染相关指标调查[J].中国感染控制杂志,2019,18(11):1038-1043.DOI:10.12138/j.issn.1671-9638.20195097.
[3]任南,文细毛,付陈超,等.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.DOI:10.3969/j.issn.1671-9638.2016.09.002.
[4]叶卫东,张金喜.二级医院连续6年医院感染病例监测资料分析[J].中华医院感染学杂志,2012,22(5):916-918.
[5]中华人民共和国卫生部.医院感染诊断标准(试行)[J].中华医学杂志,2001,81(5):314-320.DOI:10.3760/j:issn:0376-2491.2001.05.027.
[6]朱启莲,熊顺发,赵德军.某基层综合医院住院患者医院感染调查分析[J].中国消毒学杂志,2019,36(3):209-211.DOI:10.11726/j.issn.1001-7658.2019.03.016.
[7]付晓昉,黄少祥,宋玮,等.老年重症患者医院感染的影响因素[J].中华医院感染学杂志,2019,29(2):191-194.DOI:10.11816/cn.ni.2019-180058.
[8]徐挺,董子龙,陈建良.神经外科患者并发肺部感染的相关因素分析[J].国际神经病学神经外科学杂志,2019,46(2):179-182.DOI:10.16636/j.cnki.jinn.2019.02.013.
[9]曾翠,任南,黄勋,等.湘雅医院15年间医院感染现患率调查[J].中国感染控制杂志,2016,15(6):367-373.DOI:10.3969/j.issn.1671-9638.2016.06.002.
[10]刘璐,张野,陈秀凤,等.2016—2018年院内感染病例调查分析[J].传染病信息,2019,32(4):329-332.DOI:10.3969/j.issn.1007-8134.2019.04.010.
[11]林琼凰.二级甲等综合医院医院感染现状分析[J].吉林医学,2016,37(12):2956-2957.DOI:10.3969/j.issn.1004-0412.2016.12.060.
[12]代育林.PDCA循环在医院感染管理质量控制中的应用效果分析[J].传染病信息,2018,31(3):267-270.DOI:10.3969/j.issn.1007-8134.2018.03.017.
[13]陈敏,王秀芝,周茂.集束化护理干预预防呼吸机相关性肺炎的效果及影响因素分析[J].现代医学,2019,47(10):1273-1277.DOI:10.3969/j.issn.1671-7562.2019.10.024.
[14]潘丽娟,王荣丽.呼吸机相关性肺炎病原菌的分布及危险因素分析[J].中国感染与化疗杂志,2019,19(4):363-365.DOI:10.16718/j.1009-7708.2019.04.004.
[15]王宁宁,李金娜,柏玲,等.急诊重症监护病房呼吸机相关性肺炎目标性监测及现场干预研究[J].中国消毒学杂志,2019,36(8):613-615.DOI:10.11726/j.issn.1001-7658.2019.08.016.
[16]潘桂群,章建龙,龚少波,等.老年高血压合并糖尿病患者医院感染的临床特点及影响因素分析[J].中华医院感染学杂志,2019,29(7):1035-1037. |
[1] |
Chen Dongzhen,Yin Jia,Ding Guoyong, Liu Zhidong,Liu Xuena,Lu Hua,Li Xiaomei. Implementation of the multivariate meta-analysis of distributed lag non-linear model in R software[J]. journal1, 2022, 29(2): 144-149. |
[2] |
Zhong Jie, Dai Jiangying, Yu Tingting. Analysis of the current situation of nosocomial infection management in primary medical institutions in a county[J]. journal1, 2022, 29(1): 73-77. |
[3] |
Zhu Zimiao, Liu Yanfei, Xie Bufei, Cai Shufeng, Zhang Feng.. Screening rate of syphilis antibody and its characteristics in blood donors in Wenzhou[J]. journal1, 2021, 28(1): 73-77. |
[4] |
Wu Xiaoqing, Lei Guihua, Shen Hejuan. Analysis of epidemiological characteristics and fatal risk factors in 534 patients with multiple injuries[J]. journal1, 2020, 27(6): 510-513. |
[5] |
Li Dongdong, Qin Yingyi, Wang Zhiyong, Li Jianping, Wu Cheng. . Analysis of skin disease in the South China Sea island-stationed personnel from July to December 2018[J]. journal1, 2020, 27(5): 464-467. |
[6] |
Zhang Xiaoxiao, Cheng Xiaowei, Chen Si.. Investigation of nosocomial infections in the infusion room of a tertiary children′s hospital[J]. journal1, 2020, 27(4): 382-384. |
|
|
|
|