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Annual point-prevalence of healthcare-associated infection surveys in a university hospital in China, 2007-2011

机译:2007-2011年中国某大学医院卫生保健相关感染调查的年度点流行率

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Successive point-prevalence surveys were conducted annually from 2007 to 2011 to monitor the prevalence of healthcare-associated infections (HAIs) in a university hospital in Hubei Province in China. The surveys used the case definition criteria established by the Ministry of Health of the People's Republic of China. In the 5 surveys, the overall frequency of HAIs was 3.16% (301/9533). No significant differences were identified in the point prevalence measurements of HAIs in any of the years from 2007 to 2011. Of all the cases, proportionally, the most frequent infection site was the respiratory tract (2.34%), followed by surgical sites (0.43%) and urinary tract sites (0.28%). Gram-negative aerobic bacilli were the most common organisms mentioned; the most frequently isolated organism was Pseudomonas aeruginosa, followed by Escherichia coli and Acinetobacter baumannii. Approximately one-half of the patients were receiving antibiotics at the time of the surveys. Cephalosporin, penicillin, and quinolone were most commonly used for treatment or prevention. The differences found in HAI prevalence data across the 5 surveys given in the hospital were not statistically significant. In conclusion, this successive point-prevalence survey provides information about the trend of HAI prevalence, epidemical character, and the use of antibiotics among the university hospital's in-patients. This information allows us to initiate targeted programs for infection prevention and control.
机译:从2007年至2011年,每年进行连续的点流行率调查,以监测中国湖北省一家大学医院的医疗保健相关感染(HAI)的患病率。调查使用了中华人民共和国卫生部制定的病例定义标准。在这5项调查中,HAI的总体发生率为3.16%(301/9533)。在2007年至2011年的任何一年中,HAI的点流行率测量均未发现明显差异。在所有情况下,按比例,最常见的感染部位是呼吸道(2.34%),其次是手术部位(0.43% )和尿路部位(0.28%)。革兰氏阴性需氧杆菌是最常见的微生物。最常分离的生物是铜绿假单胞菌,其次是大肠杆菌和鲍曼不动杆菌。在调查时大约有一半的患者正在接受抗生素治疗。头孢菌素,青霉素和喹诺酮最常用于治疗或预防。在医院进行的5项调查中,HAI患病率数据发现的差异无统计学意义。总之,这项连续的点流行率调查提供了有关HAI流行趋势,流行病特征以及大学医院住院患者中抗生素使用情况的信息。这些信息使我们能够启动针对性的预防和控制感染的程序。

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