Objective To understand the current situation and influencing factors of healthcare-associated infection (HAI) in a tertiary comprehesive hospital in Fuyang City from 2020 to 2022,providing reference for improving the level of hospital infection control. Methods A cross-sectional survey method was adopted to conduct a HAI survey on all hospitalized patients from 0∶00 to 24∶00 on a certain day every year from 2020 to 2022.χ2 test and multivariate logistic regression analysis were used for statistical analysis. Results The prevalence rate of HAI in a tertiary comprehensive hospital in Fuyang City from 2020 to 2022 was 1.71%,1.88%,and 1.77%,respectively (χ2=0.082,P=0.960).The departments with a higher rate of HAI were intensive care and neurosurgery,with the main infection site being the lower respiratory tract (57.14%).The main pathogenic bacterium detected in HAI were Klebsiella pneumonia (25.53%) and Pseudomonas aeruginosa (21.28%).The utilization rate of antibiotics ranged from 35.01% to 49.31%,primarily for treatment (74.96%),monotherapy being common (83.22%),the pre-treatment pathogen detection rate was 34.69%.Multivariate logistic regression analysis showed that hospitalization days≥14 days (OR=3.981,95%CI:1.746-9.080),urinary tract catheterization (OR=10.485,95%CI:4.223-26.035),and arteriovenous catheterization(OR=6.967,95%CI:2.897-16.753) were risk factors for HAI. Conclusion The prevalence rate of HAI in a tertiary comprehensive hospital in Fuyang City is relatively low,and HAI prevention and control have achieved certain results.Invasive operations such as urinary tract catheterization and arteriovenous catheterization remain key areas for HAI prevention and control.
Key words
Healthcare-associated infection /
Cross-sectional survey /
Antibiotic /
Risk factor
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References
[1] Saleem Z,Godman B,Hassali MA,et al.Point prevalence surveys of health-care-associated infections:a systematic review[J].Pathog Glob Health,2019,113(4):191-205.
[2] Raoofi S,Kan FP,Rafiei S,et al.Global prevalence of nosocomial infection:a systematic review and meta-analysis[J].PLoS One,2023,18(1):e0274248.
[3] 赵凤彩,姚俭琼,邓明卓.2016—2018年高原地区某三甲医院医院感染现患率调查[J].中国感染控制杂志,2019,18(11):1049-1053.
[4] 许川,熊薇,徐敏,等.2014—2018年某三甲医院医院感染现患率调查[J].中华医院感染学杂志,2019,29(8):1229-1233.
[5] 中华人民共和国卫生部.医院感染诊断标准(试行)[J].中华医学杂志,2001,81(5):314-320.
[6] 任南,文细毛,吴安华.2014年全国医院感染横断面调查报告[J].中国感染控制杂志,2016,15(2):83-87.
[7] 刘丹,郭玉香,张兰兰,等.某综合医院住院患者医院感染现患率调查与危险因素分析[J].安徽预防医学杂志,2023,29(4):275-279.
[8] 吴佩萦,杨春霞,杜勇英,等.2015—2020年某三级医院医院感染现患率与影响因素分析[J].预防医学情报杂志,2022,38(3):400-405.
[9] 齐家玮,刁正敏,朱福英,等.南昌市某三甲医院2015—2020年医院感染现患率调查分析[J].实用临床医学,2022,23(4):102-106.
[10] 陈亚男,刘菁,刘善善.某三甲医院2011—2018年医院感染现患率调查结果趋势分析[J].中国卫生统计,2020,37(4):599-601.
[11] 王顺彩,王凯,刘旭昕,等.青海省某三甲医院2010—2017年医院感染现患率调查[J].中国感染控制杂志,2019,18(1):22-26.
[12] 许川,熊薇,赖晓全,等.湖北省47所医院连续4年ICU医院感染目标性监测分析[J].中华医院感染学杂志,2019,29(21):3334-3338.
[13] 杨剑税,闵琦芬,龚晓文,等.江苏某三级医院2013—2022年医院感染现患率调查[J].江苏预防医学,2023,34(2):192-194+225.
[14] 余淑霞,许婷,马鸿云.2013—2017年医院感染现患率调查分析[J].中华医院感染学杂志,2018,28(8):1175-1178.
[15] 王群,李文慧,糜琛蓉,等.某三级综合医院2008—2018年医院感染现患率调查[J].中华医院感染学杂志,2019,29(13):2048-2052+2062.
[16] 刘卫平,海云婷,任伟,等.某三级综合医院2018—2020年医院感染现患率调查[J].中国消毒学杂志,2021,38(12):919-922+925.
[17] 谭善娟,张晓,吕维红,等.医院感染和社区感染患者分离肺炎克雷伯菌的耐药性差异及变迁[J].中国感染控制杂志,2020,19(11):990-995.
[18] 潘静,吴祥兵,施伎蝉,等.铜绿假单胞菌医院感染分布及其耐药性变迁[J].中华医院感染学杂志,2022,32(11):1627-1631.
[19] 吴雪,张书婧,李冠华,等.2014—2016年天津市胸科医院感染现患率调查结果分析[J].天津医药,2018,46(2):206-210.
[20] 朱雯,沈玫,翁超.某二级甲等综合性医院重症监护室医院感染监测及影响因素分析[J].中国消毒学杂志,2023,40(6):441-444.
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