A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years_West China Medical Journal

Authors：

CHEN Xiuwen ¹ , XIE Chengfeng ¹ , ZHOU Zhiqiu ¹ , WAN Xiaohua ¹ , LI Sisi ¹ , ZHANG Xinping ¹ ,  CHEN Qiang ²

1. Infection Control Department, Jiangxi Provincial Children’s Hosptital, Nanchang, Jiangxi 330006, P. R. China;
2. Department of Respiratory Medicine, Jiangxi Provincial Children’s Hosptital, Nanchang, Jiangxi 330006, P. R. China;

Corresponding?author：

CHEN Qiang, Email: jx-cq@163.com

Keywords：

Children; Healthcare-associated infection; Prevalence rate; Trend analysis

DOI：

10.7507/1002-0179.201903007

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Objective To explore the continuous changing trend of healthcare-associated infection prevalence rate in a children’s hospital.Methods From July 2012 to November 2018, a cross-sectional survey was conducted to investigate the prevalence of healthcare-associated infections in hospitalized children for seven consecutive years by combining case-checking and bedside survey.Results A total of 10 310 hospitalized children were investigated in the past seven years. The incidence of healthcare-associated infections from 2012 to 2018 was 2.08%, 4.84%, 1.59%, 3.76%, 1.63%, 1.74%, and 2.08%, respectively, showing a statistically significant downward trend (LLA=7.631, P=0.006). The departments with higher proportion of healthcare-associated infections were pediatric surgery (50.0%), pediatric medicine (44.8%), neonatal medicine (2.8%), and intensive care units (2.4%) . Viruses (38.8%) were the most common pathogens of healthcare-associated infections, followed by Gram-negative bacteria (34.3%) .Conclusions The prevalence of healthcare-associated infections in the children’s hospital showed a downward trend year by year. Pediatric surgery is the most common occurrence department, and viruses are the most common pathogens. It can provide evidence for prevention and control of healthcare-associated infection in children’s hospitals.

Citation： CHEN Xiuwen, XIE Chengfeng, ZHOU Zhiqiu, WAN Xiaohua, LI Sisi, ZHANG Xinping, CHEN Qiang. A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years. West China Medical Journal, 2019, 34(3): 272-275. doi: 10.7507/1002-0179.201903007 Copy

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8.	任南, 細毛, 吳安華. 2014年全國醫院感染橫斷面調查報告. 中國感染控制雜志, 2016, 15(2): 83-87.
9.	Dudeck MA, Weiner LM, Allen-Bridson K, et al. National healthcare safety network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control, 2013, 41(12): 1148-1166.
10.	余淑霞, 許婷, 馬鴻云. 2013-2017年醫院感染現患率調查分析. 中華醫院感染學雜志, 2018, 28(8): 1175-1178.
11.	程興東, 陳雪梅, 李同歡, 等. 住院患兒醫院感染現患率與相關因素分析. 中華醫院感染學雜志, 2018, 28(12): 1888-1891.
12.	許姜姜, 高潔, 郭駿華, 等. 2012至2017年某兒童專科醫院住院患兒醫院感染的部位及病原體分布. 中國循證兒科雜志, 2018, 13(4): 264-268.
13.	程莉莉, 張秀月, 齊月, 等. 某三級甲等醫院2011-2016年醫院感染現患率調查分析. 中國消毒學雜志, 2018, 35(11): 868-870.
14.	李碧蘭, 蔣禹. 心臟瓣膜置換術后下呼吸道感染的相關因素分析. 華西醫學, 2015, 30(10): 1924-1926.
15.	Riera M, Ibá?ez J, Herrero J, et al. Respiratory tract infections after cardiac surgery: impact on hospital morbidity and mortality. J Cardiovasc Surg (Torino), 2010, 51(6): 907-914.
16.	譚昆, 魏詩晴, 徐敏, 等. 心臟大血管術后患者醫院感染特征及相關因素分析. 中華醫院感染學雜志, 2018, 28(8): 1216-1219.

1. 吳安華, 任南, 文細毛, 等. 全國醫院感染監控網1998~1999年監測資料分析. 中華醫院感染學雜志, 2000, 10(6): 401-403.
2. 中華人民共和國衛生部. 醫院感染診斷標準(試行). 中華醫學雜志, 2001, 81(5): 314-320.
3. 中華人民共和國衛生部. 衛生部辦公廳關于印發《外科手術部位感染預防與控制技術指南（試行）》等三個技術文件的通知. (2010-11-29)[2019-01-01]. http://www.nhfpc.gov.cn/mohyzs/ s3594/201012/50039.shtml.
4. 鐘佩佩, 張津, 狄軍波, 等. 溫州某醫院2010-2016年兒童感染病門診疾病譜. 國際流行病學傳染病學雜志, 2018, 45(3): 187-191.
5. 張冀煒, 馬惠珍. 兒科門診疾病種類及分布特點分析. 寧夏醫學院學報, 2006, 28(4): 349-350.
6. 匡寒琴. 28096例兒童住院疾病譜及費用分析. 中國病案, 2016, 17(1): 53-55.
7. 任南, 文細毛, 吳安華. 全國醫院感染橫斷面調查結果的變化趨勢研究. 中國感染控制雜志, 2007, 6(1): 16-18.
8. 任南, 細毛, 吳安華. 2014年全國醫院感染橫斷面調查報告. 中國感染控制雜志, 2016, 15(2): 83-87.
9. Dudeck MA, Weiner LM, Allen-Bridson K, et al. National healthcare safety network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control, 2013, 41(12): 1148-1166.
10. 余淑霞, 許婷, 馬鴻云. 2013-2017年醫院感染現患率調查分析. 中華醫院感染學雜志, 2018, 28(8): 1175-1178.
11. 程興東, 陳雪梅, 李同歡, 等. 住院患兒醫院感染現患率與相關因素分析. 中華醫院感染學雜志, 2018, 28(12): 1888-1891.
12. 許姜姜, 高潔, 郭駿華, 等. 2012至2017年某兒童專科醫院住院患兒醫院感染的部位及病原體分布. 中國循證兒科雜志, 2018, 13(4): 264-268.
13. 程莉莉, 張秀月, 齊月, 等. 某三級甲等醫院2011-2016年醫院感染現患率調查分析. 中國消毒學雜志, 2018, 35(11): 868-870.
14. 李碧蘭, 蔣禹. 心臟瓣膜置換術后下呼吸道感染的相關因素分析. 華西醫學, 2015, 30(10): 1924-1926.
15. Riera M, Ibá?ez J, Herrero J, et al. Respiratory tract infections after cardiac surgery: impact on hospital morbidity and mortality. J Cardiovasc Surg (Torino), 2010, 51(6): 907-914.
16. 譚昆, 魏詩晴, 徐敏, 等. 心臟大血管術后患者醫院感染特征及相關因素分析. 中華醫院感染學雜志, 2018, 28(8): 1216-1219.

West China Medical Journal

A trend analysis of healthcare-associated infection prevalence rate in a provincial children’s hospital for seven consecutive years

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