The Prevalence Survey Analysis of Nosocomial Infection in A Western Region Hospital in 2014_West China Medical Journal

Authors：

 LUTing-ting ,  MAChun-hua , LIYan-ping , ZHAOYue , WENJia , ZHANGXiu-ling , ZOUYan

Department of Nosocomial Infection, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

MAChun-hua, Email: 1304625868@qq.com

Keywords：

Prevalence; Nosocomial infection; Pathogen

DOI：

10.7507/1002-0179.20150649

Video：

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Objective To know the situation of nosocomial infection in 2014 in a western region hospital, in order to provide a scientific basis for hospital infection control and management. Method We selected the patients on August 14th in 2014 during the time from 00:00 to 24:00 as our study subjects. Bedside investigation and medical records investigation were combined to study the cross-sectional survey of nosocomial infection. We completed the questionnaire, and used statistical methods to count related data about nosocomial infections and community-acquired infections. Results A total of 1 908 patients were investigated. The nosocomial infection prevalence rate was 4.45%, and the community-acquired infection prevalence rate was 29.09%. The highest prevalence of nosocomial infection department was the Intensive Care Unit (38.10%); the top three surgical systems were Thoracic Surgery (18.67%), General Surgery (16.67%), and Neurosurgery (10.53%), and the top three medical systems were Endocrinology (11.11%), Neurology (6.67%), and Infectious Diseases Department (5.88%). The top three community-acquired infections occurred in Pediatrics Department (non-neonatal group) (95.37%), Burn surgery (92.31%), and Respiratory Medicine (86.46%). The main infection site for both nosocomial and community-acquired infection was lower respiratory tract (58.24%). Pathogens were mainly Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii, Staphylococcus aureus, and Pseudomonas aeruginosa. Hospital and community-acquired infection bacterial spectrum were consistent. And the rate of antibiotics use was 40.82%, in which 126 patients used for prevention (6.60%), and 599 patients used for treatment (31.39%). For patients using the drugs for treatment, bacterial culture submission rate was 80.71%, and the positive rate was 43.78%. Conclusions The prevalence of nosocomial infection is reliable, which provides a data support for nosocomial infection prevention and control.

Citation： LUTing-ting, MAChun-hua, LIYan-ping, ZHAOYue, WENJia, ZHANGXiu-ling, ZOUYan. The Prevalence Survey Analysis of Nosocomial Infection in A Western Region Hospital in 2014. West China Medical Journal, 2015, 30(12): 2266-2270. doi: 10.7507/1002-0179.20150649 Copy

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1. 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.
2. 吴安华, 文细毛, 李春辉, 等. 2012年全国医院感染现患率与横断面抗菌药物使用率调查报告[J]. 中国感染控制杂志, 2014, 13(1):8-15.
3. National Healthcare Safety Network. National Healthcare Safety Network (NHSN) Report, Data Summary for 2011, Device-associated Module[EB/OL].[2014-12-01]. http://www.cdc.gov/nhsn/dataStat.html.
4. 刘波, 张卫红, 张苏明, 等. 2011年医院感染现患率调查与分析[J]. 中华医院感染学杂志, 2013, 23(7):1510-1512.
5. 沈燕, 胡必杰, 高晓东, 等. 上海市72所医院3年医院感染现患率调查[J]. 中华医院感染学杂志, 2013, 23(7):1503-1506.
6. 李瑛, 肖维俊. 住院患者院内与社区感染现患率调查分析[J]. 华西医学, 2013, 28(8):1175-1178.
7. 魏道琼, 向钱, 周忠华, 等. 四川省人民医院感染横断面调查分析[J]. 华西医学, 2012, 27(9):1293-1295.
8. 宋新勤, 罗红霞. 医院感染现患率调查分析[J]. 中华医学感染学杂志, 2013, 23(18):4372.
9. 吴鲤霞, 刘玉光, 黄荔红, 等. 住院患者医院感染监测结果分析[J]. 中华医院感染学杂志, 2013, 23(18):4368-4370.
10. 毛惠珍, 李晓琴, 鞠光亚, 等. 2011-2012年综合医院医院感染现患率调查分析[J]. 中华医院感染学杂志, 2013, 23(23):5659-5661.
11. 陈蓉, 侯丽, 周莹. 2012年绵阳市第三人民医院医院感染现患率调查分析[J]. 华西医学, 2013, 28(8):1152-1154.
12. 唐燕, 陈丽萍, 孙睿, 等. 某院2013年医院感染现患率调查及影响因素分析[J]. 华西医学, 2014, 29(7):1319-1322.
13. 刘小燕, 周卫红, 刘香莲, 等. 某三级医院2012年医院感染现患率调查与分析[J]. 华西医学, 2015, 30(2):215-218.
14. 梁道斌, 玉艳红, 覃金爱, 等. 耐亚胺培南鲍氏不动杆菌碳青霉烯酶基因分析[J]. 中华医院感染学杂志, 2013, 23(7):1481-1483.
15. 姜梅杰, 李树旺, 高静. 2012年医院鲍氏不动杆菌的耐药性分析[J]. 中华医院感染学杂志, 2014, 24(13):3142-3143, 3154.

West China Medical Journal

The Prevalence Survey Analysis of Nosocomial Infection in A Western Region Hospital in 2014

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