摘要
目的调查2022-2024年医院感染现患率,分析医院感染发病率、趋势变化及抗菌药物使用情况,为后续感控管理工作打下良好基础。方法对医院感染进行横断面调查,采用住院患者床旁调查和病例调查相结合的方法,填写个案调查表及床旁调查表。结果2022-2024年医院感染现患率分别为3.06%、3.04%、3.70%,差异无统计学意义(χ^(2)=1.471,P=0.048);感染部位分布以下呼吸道感染、手术部位感染和腹腔内组织感染为主,感染部位分布差异无统计学意义(χ^(2)=14.003,P=0.598);抗菌药物使用率分别为25.90%、26.30%、28.87%,差异有统计学意义(χ^(2)=6.272,P=0.043)。结论2022-2024年医院感染现患率较为稳定,院内感染控制较好;手术部位感染率突出,需要加大手术部位管理的力度;抗菌药物使用监测继续加强。
Objective To investigate the prevalence of hospital-acquired infections(HAIs)from 2022 to 2024,analyze the incidence,trends,and antimicrobial use,and provide a foundation for future infection control management.Methods A cross-sectional survey on HAIs was conducted using a combination of bedside investigations and medical record reviews for hospitalized patients.Data were collected via case report forms and bedside survey forms.Results The HAI prevalence rates from 2022 to 2024 were 3.06%,3.04%,and 3.70%,respectively,with no statistically significant difference(χ^(2)=1.471,P=0.048).The primary infection sites were lower respiratory tract infections,surgical site infections,and intraabdominal tissue infections,with no significant difference in distribution(χ^(2)=14.003,P=0.598).The antimicrobial use rates were 25.90%,26.30%,and 28.87%,respectively,showing a statistically significant difference(χ^(2)=6.272,P=0.043).Conclusion The HAI prevalence remained stable from 2022 to 2024,indicating effective infection control.However,surgical site infections were prominent,necessitating stricter management measures.Antimicrobial use surveillance should be further strengthened.
出处
《浙江临床医学》
2025年第7期1073-1074,共2页
Zhejiang Clinical Medical Journal
基金
浙江省医药卫生科技计划项目(2023KY565)。
关键词
医院感染
横断面调查
抗菌药物使用率
Hospital-acquired infections
Cross-sectional survey
Antimicrobial use rate
