Prevalence rate of healthcare-associated infection in a children’s hospital in 2014
10.3969/j.issn.1671-9638.2015.09.014
- VernacularTitle:2014年某儿童医院医院感染现患率调查
- Author:
Yanli ZHANG
;
Xinge ZHOU
;
Lin SUN
;
Yujun WU
;
Qian WANG
;
Jie SONG
;
Xianghui XIE
;
Kunling SHEN
- Publication Type:Journal Article
- Keywords:
children’s hospital;
healthcare-associated infection;
cross-sectional study;
prevalence rate;
antimicro-bial agent
- From:
Chinese Journal of Infection Control
2015;(9):629-632
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the current status of healthcare-associated infection (HAI)and antimicrobial use in a children’s hospital.Methods Prevalence rates of HAI and antimicrobial use among hospitalized patients at 0∶00—24∶00 of May 1 ,2014 were investigated by combination of bedside visiting and medical record reviewing. Results A total of 1 027 patients were investigated,8 patients developed 10 times of infection,prevalence rate of HAI was 0.78%,prevalence case rate was 0.97%.HAI mainly occurred in patients in blood center (n =4),the main infection site was respiratory tract(upper respiratory tract,n=2;lower respiratory tract,n=2),antimicrobial usage rate was 62.12%.Antimicrobial usage rate,purpose of antimicrobial use,and combination use of antimicro-bial agents among different departments were all significantly different(all P <0.05).The departments with top 3 antimicrobial usage rates were neonatal center(89.69%),emergency center(76.00%),and comprehensive depart-ment(73.91 %);except department of ophthalmology-otorhinolaryngology-stomatology (preventive antimicrobial use accounted for 57.89%)and department of surgery(therapeutic antimicrobial use accounted for 26.32%),the other departments mainly used therapeutic antimicrobial agents;department of ophthalmology-otorhinolaryngology-stoma-tology,heart center,and neurological rehabilitation center mainly adopted single medication treatment (all >95%), two-drug combination rate in neonatal center accounted for 48.28%,three-drug combination rate in blood center ac-counted for 30.30%.Conclusion Routine surveillance on departments and sites of high HAI incidence should be in-tensified in children’s hospitals,training on knowledge of HAI among health care workers should be strengthened, and antimicrobial should be used rationally.
