%0杂志文章%@ 2369-2960 %I JMIR出版物%V 7% 卡塔尔世界杯8强波胆分析N 12% P e33296% T伊朗使用预测模型的医院获得性感染率标准化:国家医院感染登记数据的观察性研究%A Izadi,Neda %A Etemad,Koorosh %A Mehrabi,Yadollah %A Eshrati,Babak %A Hashemi Nazari,Seyed Saeed %+心血管疾病预防研究中心，Shahid Beheshti医学科学大学公共卫生与安全学院，Velenjak，伊朗德黑兰，2楼，98 09125779300，saeedh_1999@yahoo.com %K医院获得性感染%K标准化感染比率%K预测模型%K伊朗%D 2021 %7 7.12.2021 %9原始论文%J JMIR公共卫生监测%G英文%X背景:许多因素有助于医院获得性感染(HAIs)的传播。目的:本研究旨在使用伊朗基于国家医疗安全网(NHSN)方法的预测模型来标准化HAI率。方法:在本研究中，使用伊朗医院感染监测系统(INIS)收集HAIs患者(126,314例感染)的数据。此外，利用医院统计信息系统(AVAB)收集医院特征数据。首先，选取了全国357家表现良好的医院。数据随机分为训练集(70%)和测试集(30%)。最后计算HAIs的标准化感染率(SIR)和校正感染率(SIR)。结果:100,110例HAI患者的平均年龄为40.02岁(SD 23.56岁)。 The corrected SIRs based on the observed and predicted infections for respiratory tract infections (RTIs), urinary tract infections (UTIs), surgical site infections (SSIs), and bloodstream infections (BSIs) were 0.03 (95% CI 0-0.09), 1.02 (95% CI 0.95-1.09), 0.93 (95% CI 0.85-1.007), and 0.91 (95% CI 0.54-1.28), respectively. Moreover, the corrected SIRs for RTIs in the infectious disease, burn, obstetrics and gynecology, and internal medicine wards; UTIs in the burn, infectious disease, internal medicine, and intensive care unit wards; SSIs in the burn and infectious disease wards; and BSIs in most wards were >1, indicating that more HAIs were observed than expected. Conclusions: The results of this study can help to promote preventive measures based on scientific evidence. They can also lead to the continuous improvement of the monitoring system by collecting and systematically analyzing data on HAIs and encourage the hospitals to better control their infection rates by establishing a benchmarking system. %M 34879002 %R 10.2196/33296 %U https://publichealth.www.mybigtv.com/2021/12/e33296 %U https://doi.org/10.2196/33296 %U http://www.ncbi.nlm.nih.gov/pubmed/34879002