[2008 - 2018年斯德哥尔摩郡议会的医疗保健相关感染]

[Healthcare-associated infections in Stockholm County Council 2008-2018].

作者信息

Johansson Ida, Tammelin Ann

机构信息

med kand, Uppsala.

出版信息

Lakartidningen. 2020 Apr 6;117:FWEA.

PMID:32293019

Abstract

Healthcare-associated infections (HAI) are the most common adverse events in healthcare. The aim of this study was to explore the prevalence of HAI and associated risk factors among in-patients in somatic care in Stockholm County Council (SCC) 2008-2018. In each yearly point prevalence survey 3200-3800 patients were registered. Epi Info™ software was used for statistical analysis. There were significant decreases in prevalence of HAI 15.3-7.3% (RR 0.47 [95% CI 0.41-0.54] p<0.01), indwelling urinary catheter (IUC) 24.3-21.7% (RR 0.89 [95% CI 0.82-0.97] p=0.01) and central venous catheter 13.8-10.7% (RR 0.78 [95% CI 0.69-0.88] p<0.01). Among carriers of IUC there was a significant decrease in prevalence of urinary tract infection 11.4-4.1% (RR 0.36 [95% CI 0.22-0.59] p<0.01). After analyzing potential confounders we believe that the improvement is true. Repeated point prevalence surveys could have contributed to raising awareness about HAI.

摘要

医疗保健相关感染（HAI）是医疗保健中最常见的不良事件。本研究的目的是探讨2008 - 2018年斯德哥尔摩郡议会（SCC）躯体护理住院患者中HAI的患病率及相关危险因素。在每年的现患率调查中，登记了3200 - 3800名患者。使用Epi Info™软件进行统计分析。HAI的患病率显著下降，从15.3%降至7.3%（相对危险度0.47 [95%可信区间0.41 - 0.54]，p<0.01），留置导尿管（IUC）从24.3%降至21.7%（相对危险度0.89 [95%可信区间0.82 - 0.97]，p = 0.01），中心静脉导管从13.8%降至10.7%（相对危险度0.78 [95%可信区间0.69 - 0.88]，p<0.01）。在IUC携带者中，尿路感染的患病率显著下降，从11.4%降至4.1%（相对危险度0.36 [95%可信区间0.22 - 0.59]，p<0.01）。在分析了潜在的混杂因素后，我们认为这种改善是真实的。重复的现患率调查可能有助于提高对HAI的认识。