Prevalence and risk factors of healthcare-associated infection in a tertiary first-class hospital in 2012-2015
10.3969/j.issn.1671-9638.2017.11.008
- VernacularTitle:基层三甲医院2012-2015年医院感染现患率及危险因素
- Author:
Xiao-Yan LIU
1
;
Cui-Yao XIAN
;
Fa-Xia WANG
;
Wei-Hong ZHOU
;
Xiang-Lian LIU
Author Information
1. 广州市番禺区中心医院
- Keywords:
healthcare-associated infection;
prevalence rate;
antimicrobial agent;
infection site;
risk factor
- From:
Chinese Journal of Infection Control
2017;16(11):1026-1029
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the prevalence and risk factors of healthcare-associated infection(HAD,and provide evidence for prevention and control of HAI.Methods A cross-sectional survey was adopted,bedside survey and medical record reviewing method was combined to investigate and analyze the prevalence of HAI in a tertiary first-class hospital in 2012-2015.Results A total of 4 725 hospitalized patients were surveyed,the prevalence rates in 2012-2015 were 6.00％,4.77％,3.93％,and 3.05％ respectively,difference was significant(P＜0.05);antimicrobial usage rates were 30.56％,33.82％,32.84％,and 34.48％ respectively,difference was not significant (P＞0.05);the main infection site was lower respiratory tract (43.00 ％),followed by surgical site (16.43 ％);the risk factors for HAI were age ≥65 years,chronic systemic diseases(diabetes,cirrhosis,chronic renal failure,chronic lung disease),immunodeficiency(white blood cell＜1.5 × 109/L),coma,tracheotomy,and mechanical ventilation.Conclusion Survey on HAI prevalence can promote continuous improvement of HAI management,surveillance on surgical site infection and risk factors of HAI should be strengthened.
