Survey on healthcare-associated infection in general intensive care units re-ported to China HAI Surveillance Network
10.3969/j.issn.1671-9638.2014.08.003
- VernacularTitle:全国医院感染监测网2012年综合 ICU 医院感染现患率调查监测报告
- Author:
Ximao WEN
;
Nan REN
;
Anhua WU
;
Li MENG
;
Yanhong GUO
- Publication Type:Journal Article
- Keywords:
healthcare-associated infection;
prevalence survey;
intensive care unit;
prevalence rate;
urinary cath-eter-related urinary tract infection;
intravascular catheter-related blood stream infection;
ventilator-associated pneumonia;
pathogen;
antimicrobial agent
- From:
Chinese Journal of Infection Control
2014;(8):458-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective To realize the incidence of healthcare-associated infection (HAI),the rate of invasive procedure and related infection rate,use of antimicrobial agents and distribution of pathogens in gereral intensive care units (GICUs) of hospitals in China.Methods HAI cross-sectional investigation data of GICUs reported to China HAI Surveillance Net-work were summarized and analyzed.Results Of 1 313 hospitals,621(47.30%)had GICUs;a total of 5 887 patients were surveyed,1 634 patients developed 1 962 times of infection,HAI prevalence rate and case rate was 27.76% and 33.33%respectively.The main infection sites were lower respiratory tract(70.39%),urinary tract (12.79%)and blood(2.86%). The application rate of urinary catheter,arteriovenous catheter and ventilator was 53.52%(n=3 151),37.05%(n=2 181) and 35.62%(n=2 097)respectively,and related prevalence of urinary tract infection,pneumonia and blood stream infection was 4.67%,20.41%,and 0.60%,respectively,which accounting for 58.57%,30.99%,and 23.21 % of urinary tract infection,pneumonia and blood stream infection respectively,the overall prevalence of above invasive procedure-re-lated infection accounted for 29.97%(588/1 962)of the overall HAI prevalence.A total of 1 795 isolated pathogens causing HAI were detected,the top three were Pseudomonas aeruginosa (20.78%),Acinetobacter baumannii(17.99%)and Klebsiella pneumoniae (11 .64%).The usage rate of antimicrobial agents was 71 .58%(n=4 214), rate of specimens delivered for detection was up to 75.27%(2 553/3 392).Conclusion Prevalence and antimicrobial use in patients in GICUs are all high,all kinds of invasive procedure are frequent,30% of HAI are related to inva-sive procedure;infection caused by non-fermentative bacteria is serious,pathogen detection is well performed.