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| 2010—2014年湖北省医院感染现患率与抗菌药物使用变化趋势 | |
| 引用本文： | 刘小丽,邓敏,梁建生,徐亚青,田佳,谢多双. 2010—2014年湖北省医院感染现患率与抗菌药物使用变化趋势[J]. 中国感染控制杂志, 2017, 16(10): 941-945. DOI: 10.3969/j.issn.1671-9638.2017.10.010 |
| 作者姓名： | 刘小丽 邓敏 梁建生 徐亚青 田佳 谢多双 |
| 作者单位： | 2010—2014.年湖北省医院感染现患率与抗菌药物使用变化趋势 |
| 摘 要： | 目的了解湖北省医疗机构住院患者医院感染和抗菌药物使用的变化趋势，为提高医院感染管理水平提供科学依据。方法对2010、2012、2014年湖北省医院感染横断面调查结果进行分析。结果2010、2012、2014年医院感染现患率分别为3.48%（1 526/43 909）、3.03%（1 919/63 320）和2.86%（2 174/76 145），总体呈下降趋势，差异有统计学意义（χ2=36.44，P<0.01）。抗菌药物使用率逐年下降，从2010年的54.29%（23 838/43 909）下降至2014年的41.02%（31 238/76 145），差异有统计学意义（χ2=2 194.09，P＜0.01）。治疗使用抗菌药物患者的细菌培养送检率逐年提高，从2010年的30.49%（4 297/14 091）提高至2014年的52.13%（10 556/20 248）（χ2=1 593.98，P<0.01）。结论湖北省医院感染现患率呈下降趋势，横断面抗菌药物使用率逐步下降。 |
| 关 键 词： | 医院感染 横断面调查 现患率 抗菌药物 变化趋势 |
| 收稿时间： | 2016-09-23 |
| 修稿时间： | 2016-12-10 |
Prevalence rates of healthcare associated infection and antimicrobial use in Hubei Province in 2010-2014 |
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| LIU Xiao li,DENG Min,LIANG Jian sheng,XU Ya qing,TIAN Ji,XIE Duo shuang. Prevalence rates of healthcare associated infection and antimicrobial use in Hubei Province in 2010-2014[J]. Chinese Journal of Infection Control, 2017, 16(10): 941-945. DOI: 10.3969/j.issn.1671-9638.2017.10.010 | |
| Authors: | LIU Xiao li DENG Min LIANG Jian sheng XU Ya qing TIAN Ji XIE Duo shuang |
| Affiliation: | 1.Wuhan Centers for Disease Prevention and Control, Wuhan 430015, China;2.Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;3.Renmin Hospital of Wuhan University, Wuhan 430060, China;4.Zhongnan Hospital of Wuhan University, Wuhan 430071, China;5.Taihe Hospital, Shiyan 442008, China |
| Abstract: | ObjectiveTo study the changing trend of prevalence rates of healthcare associated infection (HAI) and antimicrobial use in hospitalized patients in medical institutions of Hubei Province, and provide a scientific basis for improving HAI management.MethodsThe cross sectional survey results of HAI in Hubei Province in 2010, 2012, and 2014 were analyzed. ResultsThe prevalence rates of HAI in 2010, 2012, and 2014 were 3.48%（1 526/43 909）, 3.03%（1 919/63 320）, and 2.86%（2 174/76 145）respectively, which showed a downward trend, difference was statistically significant（χ2=36.44，P<0.01）. Antimicrobial usage rate decreased from 54.29% (23 838/43 909) in 2010 to 41.02% (31 238/76 145) in 2014, difference was statistically significant(χ2=2 194.09, P<0.01). Among patients receiving therapeutic use of antimicrobial agents, the specimen detection rate increased from 30.49% (4 297/14 091) in 2010 to 52.13% (10 556/20 248) in 2014 (χ2=1 593.98, P<0.01). ConclusionThe prevalence rate of HAI showed a downward trend in Hubei Province, cross sectional survey on antimicrobial use showed a gradual decrease. |
| Keywords: | healthcare associated infection cross sectional survey prevalence rate antimicrobial agent changing trend |
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