Investigation on Nosocomial Infection Prevalence Rate in A Tertiary Hospital in 2012_West China Medical Journal

Authors：

 LIUXiao-yan , ZHOUWei-hong , LIUXiang-lian , NIEJun-feng , XIANCui-yao

Department of Nosocomial Infection Management, Panyu People's Hospital, Guangzhou, Guangdong 511400, P. R. China;

Corresponding author：

Keywords：

Nosocomial infection; Prevalence rate; Investigation

DOI：

10.7507/1002-0179.20150067

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Objective To learn the current situation and feature of nosocomial infection (NI), so as to provide reference for making the prevention measures. Methods Prevalence rate of nosocomial infection in patients hospitalized on December 18, 2012 was investigated by the combination of bed-side examination and medical record checking. Results A total of 1 083 patients were surveyed, and the prevalence rate of nosocomial infection was 6.00%. Intensive Care Unit had the highest NI prevalence (28.57%), followed by Hematology Department (20.00%) and Neurosurgery Department (20.00%). Lower respiratory tract (38.46%) was the main infection site, followed by superficial surgical incision (13.85%). The usage rate of antimicrobial agents was 30.56%, and 40 strains of pathogens were isolated, in which Klebsiella pneumonia (15.0%), Pseudomonas aeruginosa (12.5%) and Escherichia coli (10.0%) were the main ones. Conclusion Target monitoring management of key departments and key sites should be strengthened, and the management of antimicrobial agents should be stressed and invasive procedures should be decreased.

Citation： LIUXiao-yan, ZHOUWei-hong, LIUXiang-lian, NIEJun-feng, XIANCui-yao. Investigation on Nosocomial Infection Prevalence Rate in A Tertiary Hospital in 2012. West China Medical Journal, 2015, 30(2): 215-218. doi: 10.7507/1002-0179.20150067 Copy

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1. 任南. 实用医院感染监测方法学[M]. 长沙:湖南科学技术出版社, 2012:84-95.
2. 任南, 文细毛, 吴安华. 全国医院感染横断面调查结果的变化趋势研究[J]. 中国感染控制杂志, 2007, 6(1):16-18.
3. 吴安华, 文细毛, 李春辉, 等. 2012年全国医院感染现患率与横断面抗菌药物使用率调查报告[J]. 中国感染控制杂志, 2014, 13(1):8-15.
4. 吴小燕, 战榕, 曾邦伟, 等. 福建省116所医院医院感染与社区感染现患率调查[J]. 中国感染控制杂志, 2011, 10(3):181-184.
5. Behnke M, Hansen S, Leistner R, et al. Nosocomial infection and antibiotic use a second national prevalence study in Germany[J]. Dtsch Arztebl Int, 2013, 110(38):U31-627.
6. 唐燕, 陈丽萍, 孙睿, 等. 某医院2013年医院感染现患率调查及影响因素分析[J]. 华西医学, 2014, 29(7):1319-1322.
7. 张菊, 杨俊华, 刘玉苗, 等. 连续两年医院感染现患率调查与分析[J]. 华西医学, 2014, 29(2):286-288.
8. 杨乐, 赵丽霞, 喻荣彬. 2011年常州市15所医院医院感染现患率调查[J]. 中国感染控制杂志, 2012, 11(6):444-447.
9. Zotti CM, Ioli GM, Charrier L, et al. Hospital-acquired infections in Italy:a region wide prevalence study[J]. J Hosp Infect, 2004, 56(2):142-149.
10. Humphreys H, Newcombe RG, Enstone J, et al. Four country healthcare associated infection prevalence survey 2006:risk factor analysis[J]. J Hosp Infect, 2008, 69(3):249-257.
11. Humphreys H, Newcombe RG, Enstone J, et al. Four country healthcare-associated infection prevalence survey:pneumonia and lower respiratory tract infections[J]. J Hosp Infect, 2010, 74(3):266-270.
12. 王瑞臣, 沈钺, 杨又力, 等. 926例医院感染现患率及抗菌药物应用调查分析[J]. 中华医院感染学杂志, 2008, 18(1):89-91.
13. 李卫华, 邓敏. 2010年医院感染现患率调查分析[J]. 华西医学, 2012, 27(11):1673-1675.
14. 杨晓枫, 汪丽红, 张玉琼, 等. 2011年-2013年医院感染现患率调查分析[J]. 华西医学, 2014, 29(3):436-439.
15. 陈敬松. 肺炎克雷伯菌医院感染现状及耐药性探讨[J]. 中华医院感染学杂志, 2010, 20(13):1943-1944.
16. 李涛, 李佳. 成都市生活饮用水中铜绿假单胞菌的污染调查[J]. 环境与健康杂志, 2014(4):349-350.
17. 蔡兴俊, 吴华, 黄奕江, 等. 泛耐药铜绿假单胞菌感染危险因素及产金属β-内酰胺酶调查分析[J]. 中华医院感染学杂志, 2014, 24(3):534-536.
18. 马晓波, 吕晓菊, 过孝静, 等. 尿路感染大肠埃希菌的耐药性分析[J]. 华西医学, 2007, 22(2):269-270.

West China Medical Journal

Investigation on Nosocomial Infection Prevalence Rate in A Tertiary Hospital in 2012

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