| 摘要: |
| ［摘要］ 目的 调查广西某老年病专科医院2013—2022年医院感染现患率，并对结果进行分析。方法 广西壮族自治区江滨医院2013—2022年每年开展医院感染调查，选择每年7月份某天0:00～24:00的所有临床住院患者为调查对象，包括调查当天出院及转院的患者，排除当日入院患者。回顾性分析各年度的医院感染监测管理资料并进行总结。结果 2013—2022年，在调查的11 078例患者中有223例发生医院感染，共234例次，总体医院感染现患率为2.01%（223/11 078），例次感染率为2.11%（234/11 078）。例次感染率以2014年最高，为3.72%，2021年最低，为1.14%，总体呈下降趋势。医院感染现患率最高的临床科室为呼吸内科（13.44%）。感染部位以下呼吸道为主，泌尿道、上呼吸道和胃肠道亦多见。本次调查的感染者共检出病原菌190株，其中革兰阴性菌135株（71.05%），革兰阳性菌44株（23.16%），真菌11株（5.79%）。多因素logistic回归分析结果显示，年龄≥65岁［OR(95%CI)=1.790(1.345～2.382)，P<0.001］、使用抗生素［OR(95%CI)=1.912(1.445～2.530)，P<0.001］是医院感染发生的独立危险因素（P<0.05）。结论 该医院的医院感染现患率呈下降趋势，防控工作取得一定成效，但还需针对重点科室、易发感染部位和高危人群加强管理。 |
| 关键词: 医院感染 现患率 感染部位 病原菌 |
| DOI：10.3969/j.issn.1674-3806.2024.08.16 |
| 分类号:R 184 |
| 基金项目: |
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| Analysis on the survey results of prevalence rate of nosocomial infection in a specialized hospital for geriatric diseases in Guangxi from 2013 to 2022 |
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WEI Jinhua, WU Juan, ZHENG Dan
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Department of Nosocomial Infection Management, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To survey the prevalence rate of nosocomial infection in a specialized hospital for geriatric diseases in Guangxi from 2013 to 2022, and analyze the results. Methods An annual survey on nosocomial infection was conducted in Jiangbin Hospital of Guangxi Zhuang Autonomous Region every year from 2013 to 2022. All the clinically hospitalized patients were selected as the survey subjects from 0:00 to 24:00 on a certain day in July. The survey subjects included the patients who were discharged from the hospital or transferred to other hospitals on the survey day, and those who were admitted to the hospital were excluded from the survey on the same day. The data of nosocomial infection monitoring and management in each year were retrospectively analyzed and summarized. Results From 2013 to 2022, among the 11 078 patients receiving the survey, 223 cases of nosocomial infection occurred, totaling 234 times in 223 cases. The overall prevalence rate of the nosocomial infection was 2.01%(223/11 078), and the incidence rate of 234 times in 223 cases was 2.11%(234/11 078). The rate of infection times in infected cases was highest in 2014(3.72%), and lowest in 2021(1.14%), showing an overall downward trend. The clinical department with the highest prevalence rate of nosocomial infection was the Department of Respiratory Medicine(13.44%), and the infection site was mainly in the lower respiratory tract, followed by the urinary tract, upper respiratory tract and gastrointestinal tract. A total of 190 strains of pathogenic bacteria were in the infected patients detected in this survey, including 135 strains of Gram-negative bacteria(71.05%), 44 strains of Gram-positive bacteria(23.16%) and 11 strains of fungi(5.79%). The results of multivariate logistic regression analysis showed that age ≥ 65 years［OR(95%CI)=1.790(1.345-2.382), P<0.001］ and use of antibiotics［OR(95%CI)=1.912(1.445-2.530), P<0.001］ were independent risk factors for the nosocomial infection(P<0.05). Conclusion The prevalence rate of nosocomial infection in the hospital shows a downward trend, and the prevention and control work of nosocomial infection in the hospital has achieved certain results. However, it is still necessary to strengthen managements for key departments, susceptible infection sites and high-risk populations. |
| Key words: Nosocomial infection Prevalence rate Site of infection Pathogenic bacteria |
