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To investigate and analyze the situation of hospital acquired infection in surgical ward of Guizhou Province in 2022, and to provide direction and method for improving the prevention and control of hospital acquired infection.
The prevalence of hospital acquired infection in surgical wards of 186 medical institutions in the province from July to December 2022 was investigated by means of a cross-sectional survey and bedside survey combined with inpatient records.
A total of 27 046 patients were investigated, and 504 cases of hospital acquired infection occurred. The prevalence rate of hospital acquired infection was 1.86%, neurosurgery(4.43%) and cardio-thoracic surgery(3.25%) were the highest, and the difference of infection rate among different surgical systems was statistically significant(χ2=157.980, P<0.001). The main site of hospital acquired infection was respiratory tract(0.99%), surgical site(0.50%), skin and soft tissue(0.24%), and the incidence rate of different infection sites was statistically significant(P<0.05). The prevalence rate of hospital acquired infection in Class I incision was 3.42%. The highest utilization rate of antibiotics was 40.72% in cardio-thoracic surgery(13.01%) and neurosurgery(11.64%). The hospital acquired infection rate of Class I incision in different departments was significantly different(χ2=186.607, P<0.001). The main purpose of medication in surgical ward was treatment(26.10%), and the rate of pre-medication examination in surgical ward was 33.41% for single medication(36.06%).
The incidence rate of hospital acquired infection in surgical ward shows a decreasing trend. Cardio-thoracic surgery and neurosurgery are still the most common departments causing hospital acquired infection of respiratory tract and incision-like surgical site infection.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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