Investigation on the status of healthcare-associated infections among 42 429 inpatients in Wuhan City
10.3969/j.issn.1006-2483.2021.06.012
- VernacularTitle:武汉市42429例住院患者医院感染现状
- Author:
Xiaoli LIU
1
;
Jiansheng LIANG
1
;
Lin GONG
1
;
Yimei WANG
1
;
Hanbin YU
1
;
Huiqiong XU
1
Author Information
1. Wuhan Centers for Disease Control and Prevention , Wuhan Healthcare-associated Infection Management Quality Control Center, Wuhan 430015 , China
- Publication Type:Journal Article
- Keywords:
Healthcare-associated infection;
Community-associated infection;
Antimicrobial use;
Bacterial detection;
Prevalence rate
- From:
Journal of Public Health and Preventive Medicine
2021;32(6):50-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the current status of healthcare-associated infections (HAI) among inpatients in medical institutions of Wuhan, and to provide a scientific basis for improving the management of healthcare-associated infections. Methods A combined method of bedside investigation and case review of the patients’ medical records were used to investigate all hospitalized patients in 31 hospitals. Results A total of 42 429 inpatients were investigated, of whom 938 had HAI (2.21%), and 7 561 had community-associated infection (CAI, 17.82%). The top three departments with the highest prevalence rate of HAI were ICU (17.95%), hematology (8.49%), and neurosurgery (6.57%), while the top three departments with the highest prevalence rate of CAI were burns (75.00%), pediatric non-neonatal group (70.26%) and respiratory department (67.53%). Both healthcare-associated infections and community infections were mainly in the lower respiratory tract, which accounted for 47.33% and 53.00%, respectively. The main pathogens of both HAI and CAI were Gram-negative bacteria, which accounted for 65.03% and 57.73%, respectively. The use rate of antimicrobial drugs was 31.74%, and the detection rate of pathogenic bacteria before antimicrobial treatment was 55.77%. The three departments with the highest rates of the use of antibacterial drugs were the pediatric non-neonatal group (78.20%), the department of burns (75.00%) and the department of urology (73.24%). Conclusion ICU, hematology department, and neurosurgery department were high-risk departments for healthcare-associated infections. Pediatrics, burns, and urology departments were the departments with high use of antibacterial drugs. The pathogenic bacterial detection rate has declined, which needs to be strengthened.
