Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014_West China Medical Journal

Authors：

 ZhangYunlin , SuYuehua ,  ChenHuailiang , GaoChunmei , WangYouhua

Department of Nosocomial Infection Control, the People's Hospital of Tianfu New Area, Chengdu, Sichuan 610213, P. R. China;

Corresponding author：

ChenHuailiang, Email: chenhuailiang86@sina.com

Keywords：

Nosocomial infection; Prevalence rate; Grass-roots hospital

DOI：

10.7507/1002-0179.201600373

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the current situation of nosocomial infection, sample test and use of antibiotics in the in-patients, so as to provide scientific evidence for control and prevention of nosocomial infection. Methods Bedside investigation and medical records checking were adapted to conduct cross-sectional survey among all the in-patients in 2013 and 2014. Results On July 16 th, 2013 (00:00-24:00) and September 10 th, 2014 (00:00-24:00), a total of 1 400 in-patients were investigated in whom 68 with nosocomial infection were diagnosed, with a prevalence rate of 4.86%. No statistical difference were found between the two year's prevalence rate (χ²=1.341, P=0.264). The prevalence rate of Intensive Care Unit, Department of Neurosurgery (including Department of Thoracic Surgery) and Department General Surgery ranked the first three places, and the most common infection position was respiratory tract (61.76%). The usage rate of antibiotics was 48.00% in the two years, and no statistical difference was observed in the usage rate between the two years (χ²=1.309, P=0.261). Therapeutic use (67.86%) and onefold use (90.33%) accounted for most of antibiotics use. Test rate of therapeutic antibiotics use was 49.17% and no statistical difference was observed in the test rates between the two years (χ²=2.023, P=0.170). Concluslons The nosocomial infection rate was stably high in the two years. To prevent and control nosocomial infection effectively, medical personnels knowledge and skills on nosocomial infection should be improved, surveillance and guidance towards key departments should be strengthened and clinicians' diagnosis and treatment behaviors should further be regulated.

Citation： ZhangYunlin, SuYuehua, ChenHuailiang, GaoChunmei, WangYouhua. Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014. West China Medical Journal, 2016, 31(8): 1367-1371. doi: 10.7507/1002-0179.201600373 Copy

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1. 王红韶, 穆丽焕, 姚源, 等. 2050例住院患者医院感染现患率调查分析[J].中华医院感染学杂志, 2012, 22(17):3702-3704.
2. 中华人民共和国国家卫生和计划生育委员会.医院感染诊断标准(试行)[EB/OL]. (2001-11-07)[2016-05-26]. http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
3. 方小芳, 郑永丽, 丁韧, 等. 2008-2010年医院感染横断面调查分析[J].中华医院感染学杂志, 2012, 22(6):1135-1137.
4. 罗柳荣, 刘滨, 周丽芳, 等. 2008-2011年医院感染现患率调查结果分析[J].中华医院感染学杂志, 2013, 23(13):2292-2294.
5. 王晓青, 盖海云, 周宁. 2009-2010年医院感染现患率调查与分析[J].中华医院感染学杂志, 2011, 21(18):3809-3811.
6. 张莹, 龙训琴, 高建萍, 等.住院患者医院感染现状及抗菌药物使用情况分析[J].中国全科医学, 2013, 16(4):1176-1177.
7. 刘萍, 郭秀芳, 刘国会, 等.医院感染横断面调查分析[J].现代预防医学, 2012, 39(5):1123-1125.
8. 张菊, 苏维.龙泉驿区人民医院医院感染现患率调查[J].现代预防医学, 2013, 40(8):1143-1145.
9. 向钱, 魏道琼, 周忠华, 等. 2011年四川省248所医院医院感染横断面调查[J].中国感染控制杂志, 2013, 12(3):186-189.
10. 黄海燕, 赵德林, 翁秀英, 等.医院感染现患率调查分析[J].中华医院感染学杂志, 2013, 23(14):3317-3321.
11. 颜小珍, 巫香球.医院感染分布特点以及影响因素分析[J].中华医院感染学杂志, 2011, 21(23):4966-4968.
12. 王芹. 113838例住院患者医院感染及危险因素的logistic回归分析[J].中华医院感染学杂志, 2011, 21(16):3344-3346.
13. 陈翠芳, 李源培, 尹明敏, 等.医院感染现患率调查及其影响因素分析[J].中华医院感染学杂志, 2011, 21(19):4002-4004.
14. 苗立群, 李丽. 1168例医院感染患者病原菌的调查及其影响因素的探讨[J].微生物学杂志, 2009, 29(1):103-106.
15. 王宝涵, 李伟, 庞来祥.医院感染现患率调查[J].中华医院感染学杂志, 2013, 23(13):3062-3064.
16. 唐燕, 陈丽萍, 孙睿, 等.某医院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.

West China Medical Journal

Cross-sectional Study on Nosocomial Infection in A Grass-roots Hospital between 2013 and 2014

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