A Research About Third Class A Hospital Nosocomial Infection Investigation Analysis And Its Countermeasure In Xinjiang

Objective: Through the retrospective investigation and cross-sectional survey two methods, to understand the current situation of hospital infection a top three com prehensive hospital in Xinjiang, investigate the characteristics and development tren d of hospital infection, analyse the influencing factors of hospital infection, to clea r the results and problems on nosocomial infection work by retrospective investigat ion and cross-sectional survey, in order to improve the prevention work of hospital infection, providing theoretical basis for Making effective measures to hospital inf ection management. Methods: Comprehensively analysed the incidence of nosocomi al infection, ward distribution, distribution of hospital infection site, distribution of pathogens, as well as the the relationship between nosocomial infection, hospitalizat ion time and patient age, predisposing factors of nosocomial infection, the usage o f antibiotics by hospital infection cases after infected with Combining retrospective investigation and cross-sectional survey. Used EXCEL software for data collection,used SPSSl7.0 software for statistical analysis and processing. Statistical indicators include infection rate, false negative rate and composition ratio, sed chi-square tes t, correlation analysis, logistic for count data uregression analysis. Results: Hospital infection cases from 2012 to 2015, male accounted for 55.05%, male was higher0.58% than female, 4 years general hospital infection rate was 1.93%. There was statistically significance between different years hospital infection( 2 =119.904, P<0.001); There was no statistically significance for difference of hospital infection non-response rates( 2 =1.4201, P=0.701); There was statistically significance for d ifference of infection specimens rate( 2 =23.464, P<0.001); There was statistically significance in the infection rate between different age groups, hospitalization da ys, seasons, department of the hospital(P<0.001), the ICU hospital infection occup ied the first palece, following by nerve surgery, nephrology; The top two kinds of Infection were upper and lower respiratory tract infection; There was statistically significance in the infection rate of Whether surgery or not( 2 =11.806, P<0.05); I n 2012-2015, gram-negative bacteria occupied the priority of hospital infection path ogens, examined specimen with sputum in the leadfollowing by blood, urine, com bined detection of pathogenics are e. coli, neisseria bacteria and streptococcus virid ans, klebsiella pneumoniae in three kinds of samples; Single medicine as the main form of medication, differences between different clinicalantibacterial drug usage was statistically significant( 2 =12101.749, P<0.001), the use of antibiotics in surgi cal was higher than internal medicine utilization; whether the tracheotomy, vascular catheter, prolonged bed rest, surgery, radiotherapy, chemotherapy, advanced age, ur inary catheter, hormones, heavy use of antibiotics, diabetes, immunosuppression, liv er cirrhosis 13 were risk factors, logistic regression analysis, long-term lie in bed,surgery, chemotherapy, urinary tract intubation, immunosuppressants, diabetes, age s even factors as the risk factors of hospital infection. 2. 2014 Hospital infection pre valence rate was 3.51%; In 2015, the prevalence rate was 2.56%, higher than the daily continuity of the survey results. ICU, Nephrology, Neurosurgery, Emergency Medicine, Cardiology, prevalence were higher than other departments; Lower respir atory tract infection sites are concentrated, upper respiratory tract, urinary tract; â…¢type incision has highest infection rate, followed by the Class â…¡ incision infectio n, classâ… incision infection; 2015 Gram-negative bacterial infections constituent rati o increased in 2014, Gram-positive bacillus infection than constituting no significan t change(P>0.05); The combination aspects linked mainly to a single drug based surgical,use of antibiotics was higher than Internal usage rate; risk factors were ve ntilator, urinary catheter, intravenous cannulation, tracheotomy. Conclusion: The pre valence of infection is higher than hospital infection rate; Hospital infection rate sh owes a gradual downward trend with increase of time and the number of patients,hospital infection rates of male is higher than female; Nosocomial infection rate i ncreases with the rise of age, hospital infection risk of "60~" age group is higher than other groups; There is a causal relationship between hospital infection and ho spital stays, the longer hospital stays are the higher hospital infection is; Hospital i nfection of surgery patients is easier than non-surgical patients; Infection risk of patients with the more kinds of underlying disease, invasive hospital operating cases is higher than the general case; In order to further reduce hospital infection, a nu mber of measures should be taken, to strengthen publicity and education and stand ard management of hospital infection knowledge training, Improve the implementati on of the system to strengthen the supervision and inspection, carry out targeted monitoring through departments, strengthen supervision in the rational use of antibi otics.