Survey of current status of etiological submission for hospitalized patients in 32 hospitals of a city before antimicrobial treatment
10.11816/cn.ni.2025-248363
- VernacularTitle:某市32所医院住院患者抗菌药物治疗前病原学送检管理现状调查
- Author:
Fei JIANG
1
;
Shuyan LI
1
;
Hao GU
1
;
Haiyan ZHU
1
;
Linfang CHEN
1
Author Information
1. 南京医科大学附属淮安第一医院感染管理处,江苏淮安 223300
- Publication Type:Journal Article
- Keywords:
Antibiotic;
Therapeutic use;
Submission rate;
Current status survey
- From:
Chinese Journal of Nosocomiology
2025;35(6):928-932
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the current status of etiological submission for hospitalized patients in hospi-tals of a city before the antimicrobial treatment so as to provide basis for the etiological submission.METHODS From Jan.2022 to Dec.2022,a questionnaire survey was conducted for the status of etiological submission before antimicrobial treatment in 32 secondary and tertiary medical institutions of Huaian by Huaian Nosocomial Infection Management Quality Control Center.RESULTS The data from 28 hospitals were analyzed.Less awareness of sub-mission of healthcare workers and incomplete items for etiological test were the major influencing factors for the etiological submission.85.71％(24)of the hospitals have embedded the common names of antimicrobial drugs in-to the medical order system,and only 42.86％of the hospitals had the prompts for etiological submission in the information systems.A great deal of hospitals failed to execute the etiological submission and capture time for use of antibiotics according to national standards,only 5 hospitals met the standards for the capture[executing by scanning on personal digital assistant(PDA)].The majority of the hospitals only carried out'microbial culture and drug susceptibility testing',and there was deficiency in the test items.The diagnosis-related etiological submission rate of the tertiary hospitals was(87.49±10.77)％,higher than(64.45±30.59)％of the secondary hospitals(t=-2.250,P=0.036).The etiological submission rate before the antimicrobial treatment and the etiological submis-sion rate before the combined use of key drugs were higher in the tertiary hospitals than in the secondary hospi-tals,and there were no significant differences.CONCLUSIONS The hospitals vary in degree of execution of etiolog-ical submission before the antimicrobial treatment,and the secondary hospitals achieve lower effect on manage-ment than the tertiary hospitals.It is necessary for the medical institutions to carry out the etiological submission scientifically according to the standards so as to facilitate the reasonable use of antibiotics.
