某精神病专科医院2005—2016年医院感染横断面调查

目的对某精神病专科医院2005—2016年医院感染横断面调查结果进行分析，为精神病专科医院感染风险防控提供科学依据。方法采取个案调查、床旁调查和查阅病历相结合的横断面调查方法,调查某精神病专科医院2005—2016年某日所有住院患者医院感染发生情况及抗菌药物使用情况等。结果2005—2016年医院感染横断面共调查住院患者8 006例，实查率100.00%，平均医院感染现患率为3.46%；感染部位以呼吸道为主；医院感染病例年龄≥55岁患者共203例，占73.29%。横断面抗菌药物日使用率为3.72%,以治疗性目的（86.24%）和一联用药（81.88%）为主；治疗性使用抗菌药物病原学送检率45.91%。2005—2016年医院感染横断面调查日共检出病原菌17株，其中以大肠埃希菌为主，占41.18%，未检出多重耐药菌。结论精神病专科医院需要提高医院感染管理风险防范意识，根据精神病专科特点进行医院感染防控，有效预防医院感染的发生。

Cross sectional survey on healthcare associated infection in a psychiatric hospital from 2005 to 2016

ObjectiveTo analyze healthcare associated infection(HAI) cross sectional survey results in a psychia tric hospital from 2005 to 2016, so as to provide a scientific basis for prevention and control of infection risk in psychiatric hospitals.MethodsA cross sectional survey was performed through combination of individual case survey, bedside survey, and medical records reviewing, occurrence of HAI and antimicrobial use in all hospitalized patients on a given day of each year from 2005 to 2016 were investigated.ResultsFrom 2005 to 2016, a total of 8 006 hospitalized patients were performed cross sectional survey, the actual investigation rate was 100.00%, average HAI prevalence rate was 3.46%; the main infection site was respiratory tract; 203 patients with HAI were aged≥55 years, accounting for 73.29%. The daily use rate of antimicrobial agents was 3.72%, mainly for therapeutic purpose (86.24%) and mono drug use(81.88%). Specimen submission rate in patients receiving therapeutic antimicrobial use was 45.91%. A total of 17 pathogenic strains were detected on the cross sectional survey day in 2005-2016, mainly Escherichia coli(41.18%), multidrug resistant organism was not found.ConclusionPsychiatric hospitals need to enhance management awareness of prevention of HAI risk, prevent and control HAI according to characteristics of psychiatric hospitals, and effectively prevent the occurrence of HAI.