Investigation and analysis on nosocomial infections of tuborculosis prevention hospital in Shanxi Province from 2010 to 2013

Abstract

Objective By analyzing the changes of infection in recent years in tuborculosis prevention hospital in Shanxi Province, so as to understand the effectiveness of a series of measures in the hospital infection control in order to further provide the basis for promoting the direction, administration and surveillance of nosocomial infection control in TB hospital, and to prevent the onset of nosocomial infection and reduce its rate. Methods A prospective survey was conducted combined with the report card of hospital infection. 462 cases of TB patients from 2010 to 2013 were analyzed. Results Nosocomial infection happened in 462 cases-times out of 14 110 cases, and the infection rate was 3.28%. The main infection site was lower and upper respiratory tract, accounting for 69.05%. The nosocomial infection cases were mostly caused by pathogens and followed by Gram-negatives bacilli, accounting for 48.05% and 37.45%. The infection rate was associated with patients′ age, hospitalization time, the underlying diseases, the use of antibiotic and anti-tuberculosis drugs, various invasive operations and immune function of patients (P<0.05). Conclusions The infection rate showed a decreasing trend year by year. The elderly patients and long-time hospitalization patients are the focal point management. It is important for decreasing the incidence of infection to shorten the hospitalization time, rational use of antibacterial drugs, and target monitoring on focus groups and key departments. Key words: Tuberculosis; Data collection; Hospitals, special; Nosocomial infection