Prevalence Survey on Nosocomial Infection in 63 Hospitals of Fujian Province 2007 / 中华医院感染学杂志

ABSTRACT

OBJECTIVE To understand the status of nosocomial infection(NI) and antibiotic use in various scale hospitals,and provide the evidence for targeted monitoring.METHODS All inpatients were requested to make a prevalence survey of NI and antibiotic use in 63 hospitals by bed-visiting and patients′ medical records checking.RESULTS Of the 34 840 patients investigated in 63 hospitals,the NI rate was 3.7%.The most common NI site was lower respiratory tract.The general ICU had the highest NI rate(35.5%).Gram-negative bacilli were the major pathogens in NI,the most common pathogen was Pseudomonas aeruginosa.The fungi accounted for 18.6%.CONCLUSIONS To effectively prevent and control NI,it should take some measures,such as enhancing the doctors′ diagnostic level of the NI,reducing the rate of NI misdiagnosis,monitoring the departments with the high NI rate,strengthening the rational antibiotic usage,and raising the pathogen detection rate.