Trend of cross-sectional survey results of healthcare-associated infection in Wuhan City from 2016 to 2020
10.12138/j.issn.1671-9638.20244706
- VernacularTitle:2016-2020年武汉市医院感染横断面调查结果趋势研究
- Author:
Xiao-Li LIU
1
;
Yu SONG
;
Lin GONG
;
Yi-Mei WANG
Author Information
1. 武汉市疾病预防控制中心消毒与病媒生物防制所,湖北 武汉 430024;武汉市医院感染管理质量控制中心,湖北武汉 430024;武汉市现场流行病学培训项目,湖北 武汉 430024
- Keywords:
healthcare-associated infection;
community-associated infection;
prevalence rate;
pathogen
- From:
Chinese Journal of Infection Control
2024;23(2):175-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the current situation of healthcare-associated infection(HAI)and communi-ty-associated infection(CAI)in medical institutions in Wuhan City,and analyze the epidemic trend and key manage-ment of HAI.Methods The combination of medical record and bedside survey was adopted to conduct a survey ac-cording to the table of cross-sectional survey formulated by National HAI Monitoring and Management Training Base.Survey data from 2016,2018,and 2020 were analyzed.Results HAI prevalence rates in Wuhan City in 2016,2018,and 2020 were 2.66％,2.21％,and 1.85％,respectively.CAI prevalence rates were 17.81％,17.82％,and 16.29％,respectively.Both showed decreasing trends(both P＜0.05).Departments with high pre-valence rates of HAI were the intensive care unit(ICU),departments(groups)of hematology,neurosurgery,tho-racic surgery,and pediatric neonatal.Departments with high prevalence rates of CAI were the departments(groups)of pediatric non-neonatal,respiratory diseases,infectious diseases,general ICU,and pediatric neonatal.The main infection sites of HAI and CAI were lower respiratory tract.The proportions of postoperative HAI at lower respiratory tract in 2016,2018,and 2020 were 12.85％,18.39％,and 22.09％,respectively.HAI rates at surgical site in 2016,2018,and 2020 were 0.99％,0.82％,and 0.69％,respectively.HAI and CAI were mainly caused by Gram-negative bacteria.Conclusion The management of HAI in medical institutions in Wuhan City in 2016,2018,and 2020 have made achievements.However,infection control in general ICU and of HAI at lower respiratory tract still need to be strengthened and improved.
