The Current Status And Risk Factors Of Nosocomial Infection In A Traditional Chinese Medicine Hospital In Shanxi Province

Objective:To understand the current status and the epidemiological characteristics of hospital infection in a traditional Chinese medicine hospital in Shanxi Province; analyze the risk factors for nosocomial infections, and provide basis for prevention and control of nosocomial infection.Methods:Retrospectively analyze the datas of3783patients hospitalized in a traditional Chinese medicine in Shanxi from January to December2012, using descriptive statistics to analyze the epidemiological characteristic of infection in the hospital, analysis of risk factors for nosocomial infection by using logistic regression method, diagnosis of nosocomial infection according to the standard of diagnosis of hospital infection (Trial). Using self-made questionnaire survey to measure the performance status of prevention and control for infection in hospital.Results:Totally3783cases were included in the study,186cases suffered from nosocomial infection, the incidence rate of infection was4.92%:Infections mainly distributed in the age groups:21-30and above60years old. average infection rates were5.51%and6.70%respectively; The prevalence rate of hypertension and diabetes were high, respectively23.63%and6.69%; In the infection cases,99male and87female were included, the occurrence rate of nosocomial infection present no significant difference between genders (P>0.05):Average hospital stay of patients suffered from nosocomial infection (12.97±4.58) was significantly longer than non infected patients (7.79±3.07)(.P<0.05):The occurrence of nosocomial infection in different months present no statistically significant (P>0.05):Nosocomial infections mainly occurred in:department of diabetes (7.56%). department of lung disease (9.61%), surgery (6.26%). orthopedics department (9.73%), obstetrics and gynecology (4.15%):Infection positions mainly including the respiratory system (20.43%), operation site (15.05%). skin and soft tissue (12.37%). urinary system (11.29%). genital tract (9.68%) and other parts; The main pathogenic bacteria induced nosocomial infection was gram negative bacteria(374in548cases), and accounting68.25%for the total number of detected, and drug resistance of pathogenic bacteria was strong. Long time hospitalization (>7days), urethral catheterization, venous cannula, using a single antibiotic, respiratory system disease were the risk factors of nosocomial infection; There was no significant difference of implementing prevention and control strategies for nosocomial infection between different department in the hospital, but the force is insufficient, need to be strengthened.Conclusions:The incidence of infection was low in the traditional Chinese medicine hospital, and the work of nosocomial infection prevention and control obtained satisfactory result; Long time hospitalization, urethral catheterization, venous cannula, using a single antibiotic, respiratory system disease were the risk factors of nosocomial infection; Strengthen the implementation of prevention and control strategies for nosocomial infection would helpful to reduce nosocomial infection occurrence.