Development situation of healthcare-associated infection management de-partments in the rational antimicrobial application and management in China
10.3969/j.issn.1671-9638.2016.09.006
- VernacularTitle:中国医院感染管理部门在抗菌药物合理应用与管理工作中的发展状况
- Author:
Chunhui LI
;
Sidi LIU
;
Liuyi LI
;
Tieying HOU
;
Lili DING
;
Weiping LIU
;
Xiaoli LUO
;
Hongqiu MA
;
Jianguo WEN
;
Yinghong WU
;
Yawei XING
;
Weiguang LI
;
Huai YANG
;
Yun YANG
;
Weihong ZHANG
;
Jian LIU
;
Jianzhong XIE
;
Anhua WU
- Publication Type:Journal Article
- Keywords:
department of healthcare-associated infection management;
antimicrobial agent;
rational antimicrobial use;
antimicrobial use density;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2016;15(9):665-670
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the development situation of healthcare-associated infection (HAI)manage-ment departments in the rational antimicrobial application and management in hospitals in China.Methods A total of 166 hospitals from 12 provinces,municipalities,autonomous regions,and military hospitals were selected for survey,the participation of HAI management departments in the rational clinical antimicrobial application and man-agement in different years was compared.Results Of 166 hospitals,68(40.96%)in 2005,119(71.69%)in 2010, and 160(96.39%)in 2015 participated in the establishment of management organizations for rational antimicrobial application (χ2 =121.143,P <0.001).The percentage of HAI management departments participating in antimicro-bial management increased from 10.24%(n=17)in 2005 to 22.29%(n=37)in 2010,and 31.33%(n=52)in 2015 (χ2 =22.172,P < 0.001 ).The percentages of HAI management departments participating in formulating cata-logues for antimicrobial varieties and classification,stipulating permission for antimicrobial use,joining antimicrobi-al management teams,monitoring bacterial resistance,managing antimicrobial prophylaxis in clean incision,super-vising clinical antimicrobial use,conducting clinical consultation,and evaluating prescription were 10.87% -30.72% in 2005,25.90%-65.06% in 2010,and 36.14%-95.18% in 2015 (all P <0.01).Intensity of antimicro-bial use (defined daily dose/100 bed-days,DDD/ 100 bed-days)decreased from 69.16 in 2005 to 41.40 in 2015, antimicrobial usage rate decreased from 46.98% in 2005 to 36.90% in 2015,among patients receiving therapeutic antimicrobial use,specimens sending for pathogenic detection increased from 20.58% in 2005 to 49.39% in 2015. Conclusion Departments of HAI management in China play important role in management of rational antimicrobial application.
