投稿分類 感控監測

主委發表種類: 壁報

投稿標題(中): 中區某區域醫院2015-2017年醫療照護相關感染及抗藥性菌種趨勢分析

投稿標題(英): A trend analysis of healthcare- associated infections and drug- resistant organisms from 2015 to 2017 in a regional hospital in mid-Taiwan

投稿摘要: Background
Healthcare-associated infections are the most frequent adverse event in healthcare delivery, leading to prolonged hospitalization, consumption of labor and medical resources, and significant mortality for health system. To reduce the incidence of HAI and drug-resistant organisms, in addition to conducting associated infection control measures, monthly HAI surveillance is critical.
Methods
Clinical HAI records and CRAB, VRE, MRSA, CRE data from 2015 to 2017 of a regional hospital in Mid-Taiwan were collected for statistics and analysis.
Results
HAI infection density (‰) of 2015, 2016 and 2017 were 2.14, 1.89, and 1.24 respectively. In the aspect of the infection site rankings: UTI 54.2%, BSI 19.9%, and RTI 12.2% in 2015; UTI 41.7%, BSI 38.3%, and RTI 12.2% in 2016; UTI 55.4%, BSI 46%, and RTI 10.8% in 2017. In the strain rankings: E. coli 18.8%, Candida albicans 11%, and Klebsiella pneumoniae 10.4% in 2015; E. coli 15.8%, Klebsiella pneumoniae 11.2%, and Acinetobacter baumannii 10.5% in 2016；E. coli 18%, Acinetobacter baumannii 10.1%, and Klebsiella pneumoniae (7.9%) in 2017. Isolated Drug-resistance organisms by year 2015-2017: CRAB 83.9%, 88.2%、and 87.7%; VRE 17.1%, 22.1%, and 20.8%; MRSA 62.4%, 68%, and 65.8%；CRE 1.3% in 2016, and 32.1% in 2017.
Conclusions
The decline trend of infection density evinced the benefit by promoting the healthcare quality improvement circles activities to facilitate implementation of the infection control measures. The rankings of infection site and strains were generally similar, which might be attributed to that Intense Care Unit and Medical ward were two main sources of HAI cases. The trend of drug-resistant organisms seemed similar during 2015-2017 except CRE showing a dramatic rise which could be ascribed to implementation of active screen. To reduce HAI rate and provide better healthcare quality, associated infection control measures should be put into practice persistently.

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