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目的了解传染病医院重症监护病房(ICU)的住院患者医院感染发生情况,包括医院感染发病率、器械相关性感染发病率,寻找关键危险因素,制定有效的预防与控制医院感染的措施。方法采取目标性监测方法,对2015-01/12入住ICU的859例患者进行调查,并对监测结果进行统计分析。结果 859例患者中,发生医院感染37例,41例次,医院感染发病率为4.31%,医院感染例次发病率为4.77%。患者日感染率为11.08‰,调整日感染率为2.86‰。呼吸机相关性肺炎、导尿管相关尿路感染、中央静脉导管相关血流感染的日感染率分别为11.56‰、8.36‰和0.00‰。结论 ICU医院感染率高,在器械相关感染中,VAP感染发生率最高。ICU目标性监测是一种科学、有效的方法,通过该监测能发现问题,不断改进,有针对性地做好医院感染控制工作。
Objective To understand the prevalence of nosocomial infections in hospital intensive care unit (ICU) of infectious disease, including the incidence of nosocomial infections and the incidence of device-related infections, to find out the key risk factors and to develop effective measures to prevent and control nosocomial infections. Methods A targeted monitoring method was used to investigate 859 patients admitted to the ICU from January to December 2015, and the results of the monitoring were statistically analyzed. Results Among the 859 patients, 37 cases were hospital infection, 41 cases were hospitalized, the incidence of nosocomial infection was 4.31%, and the incidence of nosocomial infection was 4.77%. The patient’s infection rate was 11.08 ‰, and the adjusted infection rate was 2.86 ‰. Respiratory-associated pneumonia, urethral catheter-related urinary tract infection, central venous catheter-related bloodstream infection rates were 11.56 ‰, 8.36 ‰ and 0.00 ‰. Conclusion ICU hospital infection rate is high, in the instrument-related infection, the highest incidence of VAP infection. ICU target monitoring is a scientific and effective method by which problems can be found, and improvement and targeted hospital infection control can be carried out.