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作者

Zeng,Cui Gao,Wuqiang Qiao,Fu Zhao,Hui Fang,Xu Li,Linping Chen,Xiuwen Chen,Jiansen Li,Dan Zhou,Yuan Yu,Lingli Meng,Qinglan Mou,Xia Xiong,Lijuan Li,Weiguang Liu,Ding Xiao,Jiaqing Ou,Limei Li,Baozhen Yin,Jun Zhang,Haojun Fu,Qiang Lu,Qun Wu,Biao Xing,Yawei Sun,Shumei Wang,Shuncai Du,Longmin Zhang,Jingping He,Wenying Cheng,Gui Ren,Nan Huang,Xun Wu,Anhua

作者单位

¹¹Department of Infection Management, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, China ²National Medical Institution Infection Surveillance System of China [CMIISS], Changsha, 410008, China ²⁹Department of Infectious Diseases, The First Hospital of China Medical University, Shenyang, 110001, China ²⁷Department of Healthcare-associated Infection Management, Qinghai Provincial People's Hospital, Xining, 810007, China ³Department of Healthcare-associated Infection Management, West China Hospital, Sichuan University, Chengdu, 610041, China ⁵Department of Infection Management, The First People's Hospital of Yunnan Province, Kunming, 650032, China ³¹Hunan Lanqingting Network Technology Co., Ltd., Changsha, 410008, China ²⁶Department of Infection Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China ²⁵Department of Infection Management, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, China ⁸Department of Healthcare-associated Infection Management, Qishan Hospital, Fujian Medical University, Union Hospital, Fuzhou, 350000, China ²⁸Department of Healthcare-associated Infection Prevention and Control, The First People's Hospital of Yinchuan, Yinchuan, 750001, China ²⁰Department of Infection Management, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China ¹⁴Department of Healthcare-associated Infection Management, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China ¹⁷Institute of Disinfection and Healthcare-associated Infection Control, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin, 150030, China ¹²Department of Public Health, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010050, China ¹⁰Office of Healthcare-associated Infection Management, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830000, China ⁴Department of Healthcare-associated Infection Management, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China ²²Tianjin Fourth Central Hospital, Tianjin, 300142, China ¹⁵Office of Infection Management, Shandong Provincial Hospital, Shandong First Medical University, Jinan, 250021, China ³⁰Department of Healthcare-associated Infection Management, The First Affiliated Hospital of Shihezi University, Shihezi, 832008, China ¹⁸Department of Healthcare-associated Infection Management, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, China ¹⁶Chongqing Center for Healthcare-associated Infection Control, Daping Hospital, Chongqing, 400042, China ⁹Department of Infection Control, The Second Hospital of Jilin University, Changchun, 130000, China ⁷Department of Healthcare-associated Infection Control, Jiangxi Provincial Children's Hospital, Nanchang, 330038, China ⁶Department of Healthcare-associated Infection Management, Shanxi Provincial People's Hospital, Taiyuan, 030012, China ¹⁹Office of Healthcare-associated Infection Management, Department of Medical Affairs, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China ¹³Department of Healthcare-associated Infection Management, Guizhou Provincial People's Hospital, Guiyang, 550002, China ²¹The Second People's Hospital of Gansu Province, The Affiliated Hospital of Northwest Minzu University, Lanzhou, 730000, China ²⁴Hainan General Hospital, Haikou, 570311, China ¹Center for Healthcare-associated Infection Control, Xiangya Hospital, Central South University, Changsha, 410008, China ²³Department of Healthcare-associated Infection Management, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China

刊名

Chinese Journal of Infection Control

年份

2025

卷号

Vol.24 No.11

页码

1572-1583

ISSN

1671-9638

关键词

cross-sectional survey healthcare-associated infection medical institution nationwide prevalence rate

摘要

Objective To understand the current situation of healthcare-associated infection in China, provide data support and decision-making basis for formulating scientific and effective strategies for HAI prevention and control. Methods A nationwide cross-sectional survey on HAI was conducted among various types and levels of medical institutions in China according to a unified protocol of bedside surveys and case investigations. Results In 2024, a total of 5 736 medical institutions and 2 751 765 pat...更多

Objective To understand the current situation of healthcare-associated infection in China, provide data support and decision-making basis for formulating scientific and effective strategies for HAI prevention and control. Methods A nationwide cross-sectional survey on HAI was conducted among various types and levels of medical institutions in China according to a unified protocol of bedside surveys and case investigations. Results In 2024, a total of 5 736 medical institutions and 2 751 765 patients were surveyed. Among them, 34 889 HAI cases were identified, with a prevalence rate of 1. 27%. The number of HAI episodes was 38 032, and case prevalence rate was 1.38%. The prevalence rate of HAI in medical institutions in different regions of China ranged from 0. 66% to 2. 35%. Among medical institutions of different scales, those with a bed capacity of ≥900 had the highest incidence of HAI. reaching 1. 65%. The most common infection site was the lower respiratory tract , followed by the urinary tract , surgical site . upper respiratory tract , and bloodstream infection . The top 3 departments with the highest HAI rates were the general intensive care unit , department of neurosurgery , and department of hematology . A total of 23 238 strains of HAI pathogens were detected, with 10 714 strains from lower respiratory tract specimens. The top 5 detected strains were Klebsiella Pneumoniae , Pseudomonas Aerugitiosa , Escherichia Coli . Acinetobacter Baumannii , and Staphylococcus Aureus . 231 944 patients underwent class 1 incision surgery were monitored, with 1 647 cases experienced surgical site infection, and the prevalence rate of surgical site infection was 0. 71 %. The number of patients who should undergo pathogen detection was 715 179, while the actual number was 480 492, with a pathogen detection rate of 67. 18%. 425 225 patients received pathogenic detection before treatment, with a detection rate of 59. 46%. Conclusion The overall HAI prevalence in China is lower, showing disparities among medical institutions of different regions and scales. Therefore, precise implementation of measures is necessary for HAI prevention and control, with a focus on high-risk institutions and high-risk departments, key areas, and critical procedures. All levels of medical institutions should continuously reduce the incidence of HAI by strengthening monitoring, standardizing the use of antimicrobial agents, and reinforcing basic HAI prevention and control measures.收起

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