我国三级公立医院主要医院感染指标现状及趋势分析(2018—2020)

 目的 分析全国三级公立医院主要医院感染指标现状及趋势。方法 采用"全国进一步改善医疗服务行动计划第三方评估"机构组调查的医院自报数据进行分析。结果 2018—2020年142所样本三级公立医院, 医院感染现患(例次)率分别为1.91%、1.86%、1.65%, 医院感染漏报率分别为2.39%、1.23%、1.44%, 呼吸机相关肺炎发病率分别为2.72‰、2.68‰、1.82‰, 血管导管相关血流感染发病率分别为0.48‰、0.35‰、0.31‰, 导尿管相关泌尿系统感染发病率分别为0.71‰、0.66‰、0.53‰, 中部地区医院各指标下降明显。样本医院医务人员手卫生依从率逐年上升, 分别为74.66%、78.60%、83.55%(P＜0.05)。2019、2020年样本医院专职医院感染管理人员数较2018年平均增加1人。结论 全国三级公立医院主要医院感染指标整体呈下降趋势, 医院感染管理防控能力和人才队伍建设获得一定的成效。未来仍需持续加强医院感染的监测, 探索多系统信息化协同平台的建设。

Status and trend of the main healthcare-associated infection indicators in tertiary public hospitals in China (2018-2020)

Objective To analyze the current status and trend of main healthcare-associated infection (HAI) indicators in national tertiary public hospitals.Methods The hospital self-reported data investigated by the institutional group of "third party evaluation of action plan for further improvement of medical services" were adopted for analysis.Results In 2018-2020, prevalence rates (cases) of HAI of 142 sample hospitals in 2018-2020 were 1.91%, 1.86% and 1.65% respectively, the missed reporting rates of HAI were 2.39%, 1.23% and 1.44% respectively, incidence of ventilator-associated pneumonia were 2.72‰, 2.68‰ and 1.82‰ respectively, incidence of intra-vascular catheter-related bloodstream infection were 0.48‰, 0.35‰ and 0.31‰ respectively, incidence of catheter-associated urinary tract infection were 0.71‰, 0.66‰ and 0.53‰ respectively, indicators of hospitals in the central region decreased significantly. Hand hygiene compliance rate of medical staff in sample hospitals increased year by year, which were 74.66%, 78.60% and 83.55% respectively (P < 0.05). Compared with 2018, the number of full-time HAI professionals in the sample hospitals increased by an average of 1 person in 2019 and 2020.Conclusion The main indicators of HAI in national tertiary public hospitals generally shows a downward trend, construction of HAI management and prevention capacity as well as talent team achieved certain results. In the future, it is still necessary to continue to strengthen the monitoring of HAI and explore the construction of multi-system information collaboration platform.