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目的探讨发热症状监测应用在医院感染发病监测的方法和效果。方法资料分两组,A组采用回顾性病例监测方法抽查出院病历,医院感染病例填表登记;B组采用前瞻性监测方法,使用研发的实用电子功能模块,在全院住院病例中将体温≥37.5℃患者的信息收集到数据库,利用医院信息系统并结合临床早期判断有无医院感染。结果A组与B组医院感染发病率、漏报率和病原学送检率的差异有统计学意义(P<0.01)。结论发热症状为线索引导的医院感染发病监测敏感性高,覆盖面广,成本费用低,监管效果明显,有推广应用价值。
Objective To explore the method and effect of fever symptom monitoring in monitoring the incidence of nosocomial infection. The method data were divided into two groups. Group A was retrospectively monitored by retrospective case monitoring method to check the medical record of hospitalization and hospital infection; the group B was prospectively monitored by using the developed functional electronic functional module. In the whole hospital, 37.5 ℃ patient information collected to the database, the use of hospital information system combined with early clinical judgment of hospital infection. Results The incidence of hospital infection, omission rate and etiological examination rate in group A and group B were significantly different (P <0.01). Conclusion The symptoms of fever are clue-guided surveillance of hospital infection with high sensitivity, wide coverage, low cost and low cost, obvious regulatory effect and promotion and application value.