A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years_West China Medical Journal

Authors：

CHEN Xiuwen ¹ , XIE Chengfeng ¹ , ZHOU Zhiqiu ¹ , WAN Xiaohua ¹ , LI Sisi ¹ , ZHANG Xinping ¹ ,  CHEN Qiang ²

1. Infection Control Department, Jiangxi Provincial Children’s Hosptital, Nanchang, Jiangxi 330006, P. R. China;
2. Department of Respiratory Medicine, Jiangxi Provincial Children’s Hosptital, Nanchang, Jiangxi 330006, P. R. China;

Corresponding author：

CHEN Qiang, Email: jx-cq@163.com

Keywords：

Children; Healthcare-associated infection; Prevalence rate; Trend analysis

DOI：

10.7507/1002-0179.201903007

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Objective To explore the continuous changing trend of healthcare-associated infection prevalence rate in a children’s hospital.Methods From July 2012 to November 2018, a cross-sectional survey was conducted to investigate the prevalence of healthcare-associated infections in hospitalized children for seven consecutive years by combining case-checking and bedside survey.Results A total of 10 310 hospitalized children were investigated in the past seven years. The incidence of healthcare-associated infections from 2012 to 2018 was 2.08%, 4.84%, 1.59%, 3.76%, 1.63%, 1.74%, and 2.08%, respectively, showing a statistically significant downward trend (LLA=7.631, P=0.006). The departments with higher proportion of healthcare-associated infections were pediatric surgery (50.0%), pediatric medicine (44.8%), neonatal medicine (2.8%), and intensive care units (2.4%) . Viruses (38.8%) were the most common pathogens of healthcare-associated infections, followed by Gram-negative bacteria (34.3%) .Conclusions The prevalence of healthcare-associated infections in the children’s hospital showed a downward trend year by year. Pediatric surgery is the most common occurrence department, and viruses are the most common pathogens. It can provide evidence for prevention and control of healthcare-associated infection in children’s hospitals.

Citation： CHEN Xiuwen, XIE Chengfeng, ZHOU Zhiqiu, WAN Xiaohua, LI Sisi, ZHANG Xinping, CHEN Qiang. A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years. West China Medical Journal, 2019, 34(3): 272-275. doi: 10.7507/1002-0179.201903007 Copy

1.	吴安华, 任南, 文细毛, 等. 全国医院感染监控网1998~1999年监测资料分析. 中华医院感染学杂志, 2000, 10(6): 401-403.
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): 314-320.
3.	中华人民共和国卫生部. 卫生部办公厅关于印发《外科手术部位感染预防与控制技术指南（试行）》等三个技术文件的通知. (2010-11-29)[2019-01-01]. http://www.nhfpc.gov.cn/mohyzs/ s3594/201012/50039.shtml.
4.	钟佩佩, 张津, 狄军波, 等. 温州某医院2010-2016年儿童感染病门诊疾病谱. 国际流行病学传染病学杂志, 2018, 45(3): 187-191.
5.	张冀炜, 马惠珍. 儿科门诊疾病种类及分布特点分析. 宁夏医学院学报, 2006, 28(4): 349-350.
6.	匡寒琴. 28096例儿童住院疾病谱及费用分析. 中国病案, 2016, 17(1): 53-55.
7.	任南, 文细毛, 吴安华. 全国医院感染横断面调查结果的变化趋势研究. 中国感染控制杂志, 2007, 6(1): 16-18.
8.	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.
9.	Dudeck MA, Weiner LM, Allen-Bridson K, et al. National healthcare safety network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control, 2013, 41(12): 1148-1166.
10.	余淑霞, 许婷, 马鸿云. 2013-2017年医院感染现患率调查分析. 中华医院感染学杂志, 2018, 28(8): 1175-1178.
11.	程兴东, 陈雪梅, 李同欢, 等. 住院患儿医院感染现患率与相关因素分析. 中华医院感染学杂志, 2018, 28(12): 1888-1891.
12.	许姜姜, 高洁, 郭骏华, 等. 2012至2017年某儿童专科医院住院患儿医院感染的部位及病原体分布. 中国循证儿科杂志, 2018, 13(4): 264-268.
13.	程莉莉, 张秀月, 齐月, 等. 某三级甲等医院2011-2016年医院感染现患率调查分析. 中国消毒学杂志, 2018, 35(11): 868-870.
14.	李碧兰, 蒋禹. 心脏瓣膜置换术后下呼吸道感染的相关因素分析. 华西医学, 2015, 30(10): 1924-1926.
15.	Riera M, Ibáñez J, Herrero J, et al. Respiratory tract infections after cardiac surgery: impact on hospital morbidity and mortality. J Cardiovasc Surg (Torino), 2010, 51(6): 907-914.
16.	谭昆, 魏诗晴, 徐敏, 等. 心脏大血管术后患者医院感染特征及相关因素分析. 中华医院感染学杂志, 2018, 28(8): 1216-1219.

1. 吴安华, 任南, 文细毛, 等. 全国医院感染监控网1998~1999年监测资料分析. 中华医院感染学杂志, 2000, 10(6): 401-403.
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): 314-320.
3. 中华人民共和国卫生部. 卫生部办公厅关于印发《外科手术部位感染预防与控制技术指南（试行）》等三个技术文件的通知. (2010-11-29)[2019-01-01]. http://www.nhfpc.gov.cn/mohyzs/ s3594/201012/50039.shtml.
4. 钟佩佩, 张津, 狄军波, 等. 温州某医院2010-2016年儿童感染病门诊疾病谱. 国际流行病学传染病学杂志, 2018, 45(3): 187-191.
5. 张冀炜, 马惠珍. 儿科门诊疾病种类及分布特点分析. 宁夏医学院学报, 2006, 28(4): 349-350.
6. 匡寒琴. 28096例儿童住院疾病谱及费用分析. 中国病案, 2016, 17(1): 53-55.
7. 任南, 文细毛, 吴安华. 全国医院感染横断面调查结果的变化趋势研究. 中国感染控制杂志, 2007, 6(1): 16-18.
8. 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.
9. Dudeck MA, Weiner LM, Allen-Bridson K, et al. National healthcare safety network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control, 2013, 41(12): 1148-1166.
10. 余淑霞, 许婷, 马鸿云. 2013-2017年医院感染现患率调查分析. 中华医院感染学杂志, 2018, 28(8): 1175-1178.
11. 程兴东, 陈雪梅, 李同欢, 等. 住院患儿医院感染现患率与相关因素分析. 中华医院感染学杂志, 2018, 28(12): 1888-1891.
12. 许姜姜, 高洁, 郭骏华, 等. 2012至2017年某儿童专科医院住院患儿医院感染的部位及病原体分布. 中国循证儿科杂志, 2018, 13(4): 264-268.
13. 程莉莉, 张秀月, 齐月, 等. 某三级甲等医院2011-2016年医院感染现患率调查分析. 中国消毒学杂志, 2018, 35(11): 868-870.
14. 李碧兰, 蒋禹. 心脏瓣膜置换术后下呼吸道感染的相关因素分析. 华西医学, 2015, 30(10): 1924-1926.
15. Riera M, Ibáñez J, Herrero J, et al. Respiratory tract infections after cardiac surgery: impact on hospital morbidity and mortality. J Cardiovasc Surg (Torino), 2010, 51(6): 907-914.
16. 谭昆, 魏诗晴, 徐敏, 等. 心脏大血管术后患者医院感染特征及相关因素分析. 中华医院感染学杂志, 2018, 28(8): 1216-1219.

West China Medical Journal

A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years

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