Survey on prevalence of healthcare-associated infection in Xiangya Hospital in 15 years
10.3969/j.issn.1671-9638.2016.06.002
- VernacularTitle:湘雅医院15年间医院感染现患率调查
- Author:
Cui ZENG
;
Nan REN
;
Xun HUANG
;
Li FENG
;
Ruie GONG
;
Ximao WEN
;
Zhenru LIU
;
Hongman WU
;
Chunhui LI
;
Yixin LV
;
Manping WANG
;
Xiayun YI
;
Chenchao FU
;
Xinrui XIONG
;
Pengcheng ZHOU
;
Yuhua CHEN
;
Ying ZHANG
;
Xiuhua XU
;
Anhua WU
- Publication Type:Journal Article
- Keywords:
healthcare-associated infection;
prevalence rate;
pathogen;
infection site;
antimicrobial agent
- From:
Chinese Journal of Infection Control
2016;15(6):367-373
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence rate of healthcare-associated infection(HAI)in Xiangya Hospital,and provide reference for preventing and controlling HAI.Methods The cross sectional surveys on preva-lence rates of HAI,cross-sectional antimicrobial use,and bacterial detection among all hospitalized patients on the given days in 2000-2014 (except 2006)were carried out by combination of bedside investigation and medical record reviewing.Results The prevalence rates of HAI in 2000-2014 decreased from 6.30% to 3.91%,difference was statistically significant (χ2 = 35.14,P < 0.001 );prevalence rates of community-associated infection(CAI)were 15.61%-15.76%,there was no significant difference among each year.General intensive care unit (ICU)had the highest prevalence rate;respiratory tract was the most common site of both HAI and CAI;urinary catheterization rate showed a decreased tendency,arteriovenous catheterization rate showed a increased tendency,difference were both significant(χ2 = 5.21,96.24,respectively,both P <0.001).In 2008 - 2014,pathogenic detection rates for specimens from patients receiving therapeutic antimicrobial agents were 36.37%-44.51%,from patients with HAI were 34.00%-44.99%,detection rate of pathogens causing HAI were 41.57%-68.48%,all showed a increased tendency,difference was significant (χ2 = 22.78,10.03,26.49,respectively,all P < 0.001 ).Gram-negative bacteria were the main pathogens causing infection;both cross sectional and combination antimicrobial usage rates declined (P < 0.05 ).Conclusion Prevention and control of HAI,and antimicrobial management has achieved preliminary success,prevalence rate of HAI and cross sectional antimicrobial usage rate declined obviously,the main pathogen is gram-negative bacteria,and the major infection site is lower respiratory tract.
