摘要
目的制定分科室医院感染月发病率控制范围并进行应用实践,为医院感染的控制提供一种科学有效的方法。方法利用南充市中心医院2016年1月-2018年12月医院感染病例监测资料,依据医学参考值范围制定原理,制定分科室医院感染月发病率的预警限值和控制限值。自2019年1月起,对超出预警限值的临床科室进行警戒提醒,对超出控制限值的临床科室进行调查干预。结果制定了全院各科室的医院感染月发病率的控制范围,其发现风险事件的灵敏度为83.3%,特异度为96.2%,阳性预测值为29.4%,阴性预测值为99.7%,符合率为96.0%,具有中度一致性(kappa=0.419,P<0.001);初次警戒干预有效率为83.3%,现场干预有效率为100.0%。结论制定分科室医院感染月发病率控制范围,可以发现潜在的医院感染风险,实现精准感染防控。
Objective To establish the control range of monthly nosocomial infection incidences in different departments and put them into practice,to provide a scientific and effective method for nosocomial infection control.Methods The surveillance data about nosocomial infection cases in Nanchong Central Hospital from January 2016 to December 2018 were used to set the warning limits and control limits in different departments based on the theory of medical reference range.From January 2019,the clinical departments would be alerted if their nosocomial infection incidences were beyond the warning limits,and investigated and intervened if the incidences were beyond the control limits.Results The control range of monthly nosocomial infection incidences in different departments had been made.For identifying risk events,the sensitivity was 83.3%,the specificity was 96.2%,the positive predictive value was 29.4%,the negative predictive value was 99.7%,the coincidence rate was 96.0%,and the consistency was medium(kappa=0.419,P<0.001).The effective rate of the initial alert intervention was 83.3%,and the effective rate of the field intervention was100.0%.Conclusion The establishment and application of the control range of monthly nosocomial infection incidences in different departments can identify potential risk events and realize precise nosocomial infection control.
作者
汪峻葵
潘杰
白亚君
谢娟
张淑华
唐春莲
WANG Junkui;PAN Jie;BAI Yajun;XIE Juan;ZHANG Shuhua;TANG Chunlian(Department of Epidemiology and Biostatistics,West China School of Public Health/West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Healthcare-associated Infection Management,Nanchong Central Hospital,Nanchong,Sichuan 637000,P.R.China)
出处
《华西医学》
CAS
2022年第3期382-387,共6页
West China Medical Journal
基金
国家自然科学基金(72074163,71874116)。
关键词
医院感染
发病率
控制范围
应用
Nosocomial infection
incidence
range of control
application
