Development and changing trend in monitoring of healthcare-associated in-fection in China
10.3969/j.issn.1671-9638.2016.09.002
- VernacularTitle:中国医院感染监测工作的发展及变化趋势
- Author:
Nan REN
;
Ximao WEN
;
Chenchao FU
;
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
;
Yunxi LIU
;
Ling LIN
;
Anhua WU
- Publication Type:Journal Article
- Keywords:
healthcare-associated infection;
overall comprehensive monitoring;
targeted monitoring;
environmen-tal hygiene;
multidrug-resistant organism;
hand hygiene
- From:
Chinese Journal of Infection Control
2016;15(9):642-647
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the effectiveness in monitoring activities for healthcare-associated infection (HAI)in China in the past 30 years,explore the changing trend in HAI monitoring,find a new model for the moni-toring of HAI in China.Methods A total of 194 comprehensive hospitals and military hospitals in 13 provinces (au-tonomous regions,municipalities)were selected,questionnaire survey was adopted to investigate the situation of HAI monitoring.Results Of 194 hospitals,184 (94.85%)had available data after being checked,incidence of HAI in secondary and tertiary hospitals were 0.78% and 1.58% respectively,difference was significant (P <0.01).Monitoring was divided into two stages,cumulative percentage of each monitoring activity before 2006 and during 2006-2016 were respectively as follows:environmental hygiene were 73.91% and 100.00%,disinfection ef-ficacy 69.57% and 97.28%,overall comprehensive monitoring 64.67% and 98.91%,surgical site infection(SSI) 13.04% and 94.57%,ICU HAI 4.89% and 87.50%,neonatal HAI 1.75% and 60.82%,multidrug-resistant or-ganisms(MDROs)5.43% and 95.65%,hand hygiene compliance 2.17% and 93.48%,antimicrobial agents 15.22% and 87.50%.The reporting rate of HAI outbreak in tertiary hospitals was higher than secondary hospitals (33.33% [n=37]vs 16.44%[n=12],P =0.01).Conclusion The monitoring of HAI in China starts late,but develops rapidly,defects still exist in HAI monitoring system,reporting rate of HAI cases is still high,reporting rate of HAI outbreak is low.
