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| Nosocomial infection in a county-level hospital of traditional Chinese medicine |
| ZHOU Mei-er, YE Ling, WANG Ling-lu, SHI Yang-fan, YING Yue-dan, DU Yan-hua
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| Department of Infectious Diseases,Yongkang Hospital of Traditional Chinese Medicine,Yongkang,Zhejiang 321300,China |
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Abstract Objective To investigate and analyze the current situation of nosocomial infection in a county-level hospital of tradibtional Chinese medicine from 2014 to 2016,and to provide the basis for formulating targeted interventions. Methods We collected the case records and nosocomial infection report cards of discharged patients from a county-level hospital of traditional Chinese medicine from 2014 to 2016. We conducted descriptive analysis on the rates,risk factors,pathogens,departments and sites of infection. Results Among 38 736 hospitalized patients,985 cases and 1 047 times of hospital infection occurred,with the average infection rate of 2.54% and case-time rate of 2.70% in the three years. The infection rates showed a declining trend year by year（P<0.05）. Risk factors for nosocomial infection in the top three were the use of ventilator,the use of chemotherapy drugs and urinary tract intubation,accounting for 16.61%,6.36% and 3.67%,respectively. The top three departments of hospital infection were ICU,respiratory medicine department and oncology department,accounting for 7.97%,4.27% and 3.95%,respectively. The rates of antibacterial drug use were 41.60%,37.21% and 23.67%,respectively,with a declining trend year by year（P<0.05）. The rate of etiological examination was 16.78%,37.18% and 40.16%,respectively,showing an increasing trend year by year（P<0.05）. The most common pathogens were Klebsiella pneumoniae,Escherichia coli and Pseudomonas aeruginosa,accounting for 27.71%,16.69% and 13.94%,respectively. The most common infection sites was the lower respiratory tract,accounting for 38.30%. Conclusion The rate of etiological examination in the hospital during the three years has increased,while the rate of antibiotics use and the rate of nosocomial infection has decreased. The distribution of departments and risk factors for nosocomial infection has not changed significantly.
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Published: 22 May 2018
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