A survey on the management status and indicators of pathogen detection rate before antimicrobial treatment of inpatients in 265 medical institu-tions in Guangdong Province
10.12138/j.issn.1671-9638.20246496
- VernacularTitle:广东省265所医疗机构住院患者抗菌药物治疗前病原学送检率管理状况与指标调查
- Author:
Jia-jin CHEN
1
;
Zhen-feng ZHONG
;
Shi-yun WANG
;
Ting HUANG
;
Shu-xian CHEN
;
Chen ZHU
;
Yi-nan LI
;
Li-li PENG
;
Yuan-chun MO
;
Min-shan CHEN
;
Wei-qing LIN
;
Xiu-juan QU
;
Fang YU
;
Zhi-xing LI
;
Shu-mei SUN
Author Information
1. 南方医科大学南方医院医院感染管理科,广东 广州 510515
- Publication Type:Journal Article
- Keywords:
pathogen detection;
antimicrobial agent;
cross-sectional survey;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2024;23(12):1499-1507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the management and indicators of pathogen detection before antimicrobial treat-ment for inpatients in second level and above medical institutions(MIs)in Guangdong Province,and provide direc-tion and decision-making basis for the improvement of pathogen detection quality in the region.Methods The ma-nagement status,information system functions,and pathogen detection rate indicators of secondary and above MIs in 21 cities in Guangdong Province was surveyed through online questionnaire surveys and system submission.A baseline survey on sentinel monitoring MIs was conducted from July 15th to August 8th,2023.From November 7th to 30th,a baseline survey on non-sentinel monitoring MIs was launched.Surveys on indicator information of all MIs were completed from January 15th to 30th,2024.Results A total of 265 MIs were surveyed,and the proportions of establishing special working groups(83.98％),developing special action improvement plans(79.01％),estab-lishing pathogen detection rate management systems(91.71％),and developing management assessment plans(76.80％)of tertiary MIs were all higher than that of secondary MIs,differences were all statistically significant(all P＜0.05).The proportion of tertiary MIs with various information system functions was higher than that of secondary MIs(all P＜0.05).The pathogen detection rate(61.07％)before antimicrobial treatment and health-care-associated infection(HAI)diagnosis-related pathogen detection rate(88.00％)of inpatients in tertiary MIs were both higher than those in secondary MIs(both P＜0.05).Among different types of MIs,pathogen detection rate before antimicrobial treatment of inpatients in maternal and child health MIs was higher than that in other types of MIs.HAI diagnosis-related pathogen detection rate in other specialized hospitals was the highest,and pathogen detection rate before combined use of key antimicrobial treatment in traditional Chinese medicine hospitals was the lowest,differences were all statistically significant(all P＜0.05).Conclusion Tertiary MIs have more advantages in management strategies and information technology construction than secondary MIs,secondary MIs need more guidance and support.Monitoring and analysis of pathogen detection rate indicators in MIs of different levels and types should be strengthened through special actions.
