2023年佛山市顺德区某三级精神专科医院医院感染现患率调查
郭富莲1，莫翠英1，罗利1，潘燕1，郭富强2，吴小慧1，黄铭祥1，徐丽莉1，林建文3，欧阳倩雯1，刘卓晖1，李想1，范雨晴1
1.广东省佛山市顺德区伍仲珮纪念医院，广东 佛山 528399
2.广州龙涛外国语学校，广东 广州 510620
3 .佛山市高明区慢性病防治站，广东 佛山 528599
第一作者：郭富莲（1996— ），女，硕士研究生，公卫医师，研究方向为公共卫生。联系电话：19834519844，E-mail：fulianguo@163.com
通讯作者：莫翠英（1980— ），女，大学本科，主任医师，研究方向为医院感染预防与控制，躯体疾病所致精神障碍，心身医学。联系电话：18923216251，E-mail：20737372@qq.com
摘要：目的 调查佛山市顺德区某三级精神专科医院2023年医院感染现患率情况，分析医院感染现状并找出危险因素，为完善医院感染防控奠定基础。方法 本调查采取床边调查和个案调查结合的方式，收集2023年11月14日该院医院感染现患率数据，进行横断面调查；运用SPSS对2023年医院感染现患率数据进行统计描述和统计分析了解该医院感染情况。结果 （1）该院2023年11月14日当天应调查住院患者963例，实际调查963例，医院感染8例，发生医院感染现患率为0.83%。（2）医院感染大多以下呼吸道感染为主，检出的病原菌主要为大肠埃希菌，抗菌药物联用情况均为一联用药，种类均为三代头孢。（3）医院感染的危险因素主要为年龄。结论 （1）该院医院感染主要集中在老年综合科（老年精神科、身心疾病科和老年科）。（2）医院感染部位为下呼吸道感染，与我们日常医院感染病例监测结果一致。（3）某院患者抗精神病药物普遍使用的特殊性及专科医院抗菌药物种类限制等因素影响，三代头孢、一联用药为主要选择。(https://www.daowen.com)
关键词：三级精神专科医院；医院感染
Survey on the current infection rate of a tertiary psychiatric hospital in Shunde District, Foshan City in 2023
Guo Fulian1, Mo Cuiying1, Luo Li1, Pan Yan1, Guo Fuqiang2, Wu Xiaohui1, Huang Mingxiang1, Xu Lili1, Lin Jianwen3, Ouyang Qianwen1, Liu Zhuohui1, Li Xiang1, Fan Yuqing1
Foshan Shunde Wuzhongpei Memorial Hospital, Shunde 528399, China
Abstract:Objective To determine the rate of hospital acquired diseases in a single class III psychiatric hospital in Shunde District, Foshan City, China, in the year 2023, analyze the nosocomial infection situation and find out the risk factors, and lay the foundation for facilitating the prevention and management of hospitalacquired diseases.Methods This survey used a combination of bedside and case study surveys to conduct a cross-sectional survey to compile data on the presenting rate of hospital-acquired diseases in the hospital on 14 November 2023.SPSS was used to statistically describe and statistically analyse the data on the current rate of hospital-acquired diseases in 2023 to comprehend the disease profile of this hospital.Results (1) The hospital on 14 November 2023 should be surveyed 963 cases of residents, the actual survey of 963 cases, hospital contamination of 8 cases, the rate of occurrence of hospital contamination of the existing problem is 0.83%.(2) Most of the infections were mainly lower respiratory tract infections, and the detected causative organisms were Escherichia coli, and the combination of anti-bacterial drugs was a conjunctive drug, and the species were all of three generation of helminths.(3) The main risk factor of nosocomial infection was age.Conclusion (1) Nosocomial infection was mainly concentrated in the general department of geriatrics (Department of geriatric psychiatry, Department of psychosomatic diseases and Department of geriatrics).(2)The nosocomial infection site was lower respiratory tract infection, which was consistent with our daily nosocomial infection case monitoring results.(3) Influenced by the particularity of the common use of antipsychotic drugs in our hospital and the limitation of antibacterial drugs in specialized hospitals, thirdgeneration cephalosporin and one-drug combination were the main choices.
Keywords:Tertiary psychiatric hospital;Hospital infection