A cross-sectional study on nosocomial infections among medical institutions at different levels_West China Medical Journal

Authors：

TAN Jun ^1,2 , ZHOU Aijun ² , WENG Xiaofang ² , YUAN Yanling ² , LIU Chenglin ^1,2 ,  WANG Jianyun ^1,2

1. School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P. R. China;
2. Hospital Infection Control Department, Baoshan Branch of Shanghai First People’s Hospital, Shanghai 200940, P. R. China;

Corresponding author：

WANG Jianyun, Email: hopkins99@163.com

Keywords：

Nosocomial infection; Cross-sectional study; Comparative analysis

DOI：

10.7507/1002-0179.201801112

Video：

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Objective To compare the epidemic status of nosocomial infections (NIs) among medical institutions at different levels. Methods The cross-sectional surveys on prevalence rates of NIs, distribution of NIs, and antimicrobial use were conducted through combination of bedside investigation and medical record reviewing among all in-patients of 20 medical institutions in Baoshan District, Shanghai from 00:01 to 24:00 on November 12th 2014, December 9th 2015, and November 30th 2016, respectively. Results A total of 18 762 patients were investigated, the prevalence rate of NIs in the first, second, and third class hospitals were 5.36%, 2.37%, 1.68%, respectively (χ²=88.497, P<0.05). The main NIs sites were lower respiratory tract, urinary tract, and upper respiratory tract in the first and second grade hospitals; while were other unclassified sites, respiratory tract, and upper respiratory tract in the third grade hospitals. The utilization rates for antimicrobial in the first, second, and third grade hospitals were 5.88%, 31.64%, and 42.11%, respectively (χ²=928.148, P<0.05); submission rates for specimen were 9.82%, 48.89%, and 82.39%, respectively (χ²=601.347, P<0.05). Four cases of pathogen were reported in the first grade hospitals, 94 in the second grade hospitals, and 96 in the third grade hospitals. The in-patients in different hospitals with different genders, ages, and departments had a statistical difference in prevalence rate of NIs (P<0.05) . Conclusion The first grade hospitals need to enhance the etiological examination; the third grade hospitals should severely restrict the antimicrobial utilization, and refine the prevention and control work for NIs.

Citation： TAN Jun, ZHOU Aijun, WENG Xiaofang, YUAN Yanling, LIU Chenglin, WANG Jianyun. A cross-sectional study on nosocomial infections among medical institutions at different levels. West China Medical Journal, 2018, 33(3): 279-283. doi: 10.7507/1002-0179.201801112 Copy

1.	中华人民共和国卫生部. 中华人民共和国卫生行业标准: 医院感染监测规范. 中华医院感染学杂志, 2009, 19(11): 1313-1314.
2.	中华人民共和国卫生部. 医院感染诊断标准 (试行). 中华医学杂志, 2001, 81(5): 310-320.
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11.	杨红梅, 王冬梅, 朱利娜, 等. 2014 年–2016 年综合性医院感染现患率调查分析. 航空航天医学杂志, 2017, 28(6): 660-663.
12.	任南, 细毛, 吴安华. 2014 年全国医院感染横断面调查报告. 中国感染控制杂志, 2016, 15(2): 83-87.
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14.	Behnke M, Hansen S, Leistner R, et al. Nosocomial infection and antibiotic use a second National prevalence study in Germany. Dtsch Arztebl Int, 2013, 110(38): U31-627.
15.	周谋清, 胡继华. 东莞市 13 所三级医院医院感染现患率调查. 中国感染控制杂志, 2017, 16(3): 211-214.
16.	Cotter M, Donlon S, Roche F, et al. Healthcare-associated infection in Irish long-term care facilities: results from the First National Prevalence Study. J Hosp Infect, 2012, 80(3): 212-216.
17.	朱熠, 潘颖颖, 庄建文, 等. 某三级综合医院 2015 年医院感染横断面调查分析. 中国消毒学杂志, 2017, 34(1): 52-54.
18.	伍潇. 某医院医院感染横断面调查及影响因素分析. 衡阳: 南华大学, 2016.
19.	尹丹萍, 何多多, 巩霞, 等. 某三甲医院 2014–2016 年医院感染现患率调查分析. 中华医院感染学杂志, 2017, 27(6): 1405-1408.
20.	范珊红, 慕彩妮, 尚洋, 等. 医院感染现患率调查及危险因素分析. 中国感染控制杂志, 2013, 12(5): 351-355.
21.	李倩, 平宝华, 李宝珍. 2013 年医院感染现患率调查及危险因素分析. 中国感染控制杂志, 2014, 13(8): 467-471.
22.	Liu JY, Wu YH, Cai M, et al. Point-prevalence survey of healthcare-associated infections in Beijing, China: a survey and analysis in 2014. J Hosp Infect, 2016, 93(3): 271-279.
23.	张本娜, 仝青英, 王藩, 等. 某医院 2015 年医院感染现患率调查分析. 中国消毒学杂志, 2016, 33(6): 564-566.
24.	Liu WP, Tian YQ, Hai YT, et al. Prevalence survey of nosocomial infections in the Inner Mongolia Autonomous Region of China[2012-2014] . J Thorac Dis, 2015, 7(9): 1650.

1. 中华人民共和国卫生部. 中华人民共和国卫生行业标准: 医院感染监测规范. 中华医院感染学杂志, 2009, 19(11): 1313-1314.
2. 中华人民共和国卫生部. 医院感染诊断标准 (试行). 中华医学杂志, 2001, 81(5): 310-320.
3. 陆晓燕, 李明珠, 施海娟. 上海宝山区医院感染现患率调查. 中国消毒学杂志, 2009, 36(15): 2868-2870.
4. 李鸿宝. 2005～2006 年上海市普陀区医院感染情况分析. 现代预防医学, 2009, 36(15): 2868-2870.
5. 朱渭萍, 徐红梅, 王远萍, 等. 浦东新区医疗机构连续 2 年医院感染现患率调查分析. 中国感染控制杂志, 2016, 15(7): 476-480.
6. 刘卫平, 田勇泉, 郑志楠, 等. 2014 年医院感染现患率调查分析. 中华医院感染学杂志, 2015, 25(21): 4894-4896, 4964.
7. 陈慧斯, 李晶华, 张淑萍, 等. 2012–2013 年医院感染现患率调查. 中国感染控制杂志, 2016, 15(3): 210-212.
8. 吴艳艳, 高芳, 邹俊宁, 等. 某医院 2014 年住院患者医院感染现患率调查. 中国消毒学杂志, 2015, 32(11): 1104-1106.
9. Charrier L, Argentero PA, Farina EC, et al. Surveillance of healthcare-associated infections in Piemonte, Italy: results from a second regional prevalence study. BMC Public Health, 2014, 14(1): 558.
10. 雷君, 张辉文, 沙克芳, 等. 新疆医科大学附属肿瘤医院感染现患率调查. 新疆医科大学学报, 2010, 33(6): 713-715.
11. 杨红梅, 王冬梅, 朱利娜, 等. 2014 年–2016 年综合性医院感染现患率调查分析. 航空航天医学杂志, 2017, 28(6): 660-663.
12. 任南, 细毛, 吴安华. 2014 年全国医院感染横断面调查报告. 中国感染控制杂志, 2016, 15(2): 83-87.
13. 杨滢, 方旭, 卯升嫚, 等. 某综合医院住院患者医院感染和社区感染现患率调查. 中国消毒学杂志, 2017(10): 981-984.
14. Behnke M, Hansen S, Leistner R, et al. Nosocomial infection and antibiotic use a second National prevalence study in Germany. Dtsch Arztebl Int, 2013, 110(38): U31-627.
15. 周谋清, 胡继华. 东莞市 13 所三级医院医院感染现患率调查. 中国感染控制杂志, 2017, 16(3): 211-214.
16. Cotter M, Donlon S, Roche F, et al. Healthcare-associated infection in Irish long-term care facilities: results from the First National Prevalence Study. J Hosp Infect, 2012, 80(3): 212-216.
17. 朱熠, 潘颖颖, 庄建文, 等. 某三级综合医院 2015 年医院感染横断面调查分析. 中国消毒学杂志, 2017, 34(1): 52-54.
18. 伍潇. 某医院医院感染横断面调查及影响因素分析. 衡阳: 南华大学, 2016.
19. 尹丹萍, 何多多, 巩霞, 等. 某三甲医院 2014–2016 年医院感染现患率调查分析. 中华医院感染学杂志, 2017, 27(6): 1405-1408.
20. 范珊红, 慕彩妮, 尚洋, 等. 医院感染现患率调查及危险因素分析. 中国感染控制杂志, 2013, 12(5): 351-355.
21. 李倩, 平宝华, 李宝珍. 2013 年医院感染现患率调查及危险因素分析. 中国感染控制杂志, 2014, 13(8): 467-471.
22. Liu JY, Wu YH, Cai M, et al. Point-prevalence survey of healthcare-associated infections in Beijing, China: a survey and analysis in 2014. J Hosp Infect, 2016, 93(3): 271-279.
23. 张本娜, 仝青英, 王藩, 等. 某医院 2015 年医院感染现患率调查分析. 中国消毒学杂志, 2016, 33(6): 564-566.
24. Liu WP, Tian YQ, Hai YT, et al. Prevalence survey of nosocomial infections in the Inner Mongolia Autonomous Region of China[2012-2014] . J Thorac Dis, 2015, 7(9): 1650.

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