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      Nosocomial infections in a hospital in Jilin province: 2014 – 2017

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      1
      Chinese Journal of Public Health
      Chinese Journal of Public Health
      hospital, nosocomial infection, infection rate, preventive measure

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          Abstract

          Objective To investigate the incidence of nosocomial infections in a hospital in Jilin province from 2014 to 2017, and to provide evidences for developing preventive measures.

          Methods We collected the data of 2014 – 2017 on incidences of nosocomial infection among inpatients in a hospital in Jilin province and analyzed the data retrospectively.

          Results Among the 9 960 person times hospitalizations, totally 294 nosocomial infections were diagnosed in the hospital during the 4-year period, with an incidence rate of 2.95%. Significant yearly and seasonal difference were observed in the incidence rate of nosocomial infections (both P < 0.05) and the incidence rate was significantly higher among the female inpatients than that among the male inpatients ( P < 0.05). The top five departments with higher nosocomial infection rate were intensive care unit (7.57%), respiratory medicine (5.08%), oncology department (4.63%), anorectal department (4.13%), and neurology department (3.85%). Lower respiratory tract (34.35%), urinary tract (17.69%), and upper respiratory tract (14.63%) ranked the top three of the infection sites. Of the 221 pathogenic bacteria strains isolated among the nosocomial infecitions, 73.76% were Gram-negative bacteria and the most and the least frequently isolated pathogens were Klebsiella pneumoniae (27.60%) and fungi (5.43%).

          Conclusion The incidence of nosocomial infections decreased and the incidence rate was relatively higher among female inpatients and during the third and fourth quarter in a year between 2014 and 2017 in a hospital in Jilin province.

          Abstract

          【摘 要】 目的 调查吉林省某医院 2014 — 2017 年院内感染情况,为防范措施制定提供科学依据。 方法 采用回顾性调查法,收集 2014 — 2017 年某医院患者院内感染病历资料,包括患者一般信息及院内感染发生情况,录入数据进行分析统计。 结果 2014 — 2017 年住院例数 9 960 例,共发生感染 294 例,感染率为 2.95 %,4 年感染率比较差异具有统计学意义( P < 0.05);2014 — 2017 年女性患者发生院内感染率均明显高于男性( P < 0.05);各季度院内感染率比较差异具有统计学意义( P < 0.05);院内感染率前 5 位科室分别为 ICU(7.57 %)、呼吸内科(5.08 %)、肿瘤科(4.63 %)、肛肠科(4.13 %)、神经内科(3.85 %);下呼吸道感染(34.35 %)、泌尿系统感染(17.69 %)、上呼吸道感染(14.63 %)居感染部位前 3 位;共分离出 221 株病原菌,主要为革兰阴性菌(73.76 %),真菌占比最低(5.43 %),其中病原菌构成比最高为肺炎克雷伯菌(27.60 %)。 结论 2014 — 2017 年院内感染率呈逐年下降趋势,女性为感染主要群体,第 3、4 季度为高发季度。

          Author and article information

          Journal
          CPH
          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          1001-0580
          01 September 2019
          21 July 2019
          : 35
          : 9
          : 1264-1266
          Affiliations
          [1] 1The First Hospital of Jilin University, Changchun, Jilin Province 130052, China
          Article
          zgggws1122790
          10.11847/zgggws1122790
          b4286b9c-545d-4b77-8d8e-b80987d5b919
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Categories
          Journal Article

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          preventive measure,hospital,infection rate,nosocomial infection

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