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目的分析呼吸重症监护病房不动杆菌检出数及检出率,量化管理,实时干预,预防医院感染暴发的发生。方法前瞻性监测及回顾性分析2010-2013年呼吸重症监护病房不动杆菌检出数及检出率,计算75百分位数,作为医院感染管理科介入调查、实施干预的指标,预防控制医院感染暴发。结果呼吸重症监护病房2010-2013年不动杆菌检出数75百分位数是6人,不动杆菌检出率75百分位数为21%,以此为干预指标,指导临床在2014年的实际运用后,未发生医院感染暴发。结论在医院感染专职人员缺乏、医院感染监控软件不完善或微生物室尚无条件做病原体同种同源性分析的情况下,对呼吸科、外科、急诊等重症医学科均可用监测不动杆菌或其他病原体检出数和检出率,计算75百分位数,作为预警介入干预的指标,间接进行医院感染控制状态的监测,实时进行干预。
Objective To analyze the detection rate and detection rate of Acinetobacter in respiratory intensive care unit, quantitative management and real-time intervention to prevent the outbreak of nosocomial infection. Methods Prospective monitoring and retrospective analysis of 2010-2013 respiratory intensive care unit Acinetobacter checkout number and detection rate, calculate the 75th percentile, as the nosocomial infection management section involved in the investigation, the implementation of intervention indicators, prevention and control of hospital Infection outbreak. Results In the respiratory intensive care unit, the 75th percentile of Acinetobacter baumannii was 6 in 2010-2013, and the positive rate of 75th percentile of Acinetobacter was 21%. It was used as an intervention indicator to guide the clinical work in 2014 After the actual use, there was no outbreak of nosocomial infection. Conclusions In the absence of full-time hospital staff for infection, inadequate monitoring software for nosocomial infection or homology analysis of pathogens in the microbiological laboratory, the diagnosis of Acinetobacter or other major diseases in respiratory medicine, surgery, emergency, Pathogen detection and detection rate, calculate the 75th percentile, as an indicator of early intervention intervention, indirect monitoring of hospital infection control status, real-time intervention.