重症监护病房医院感染目标监测的探讨  

Target Monitoring of Hospital-acquired Infection in ICU

作　　者：李荔[1] 高哲平[1] 祖丽媛[1] 陈德生[1] 

机构地区：[1]中日友好医院,北京100029

出　　处：《中华医院感染学杂志》2004年第8期860-862,共3页Chinese Journal of Nosocomiology

摘　　要：目的　探讨重症监护病房 (ICU)感染的监测方法。方法　制定目标监测方案 ,建立感染监测日志 ,对 1999年 8月～ 2 0 0 0年 5月资料进行前瞻性监测。结果　共监测 35 5人感染 15 6例次 ;患者感染例次、调整患者日医院感染率分别是 2 1 97%、18 77‰ ;与呼吸机、尿管及中央静脉导管相关的调整日医院感染率分别为 2 2 5 6‰、5 2 5‰、2 2 4‰ ;平均病情严重程度 (ASIS)是 3 74 %。结论　感染科专职人员与ICU感染监测医师、护士良好配合 ,通过前瞻性监测可及时获得准确资料 ,掌握ICU医院感染动态变化 ,便于制定有效地感染控制措施 ,前瞻性目标监测是一种科学的监测方法 ,值得借鉴与推广。OBJECTIVE To strengthen monitoring of hospital-acquired infection in ICU and explore monitoring methods. METHODS To make an ICU target-monitoring plan, establish ICU infection monitoring diary and perform prospective monitoring by analyzing data from Aug 1999 to May 2000. RESULTS A total of 355 patients were monitored and 156 of them suffered from infection.Patients' infection case-rate and adjusted day infection rate were 21.97% and 18.77‰, respectively;adjusted day infection rate related with ventilator, urinary catheter and central venous catheter was 22.56‰,5.25‰ and 2.24‰, respectively. ASIS was 3.74%. CONCLUSIONS Through closely cooperation and doing oneself with specialist in infection department and doctors and nurses in charge of infection monitoring in ICU, by prospective monitoring we can obtain accurate data rapidly and master dynamic changes in hospital-acquired infection in ICU. By data analysis and pathogenic monitoring we can learn the trends of ICU infection so as to perform the effective methods to control infection. Prospective target monitoring cited in the article is a scientific monitoring method that plays an important role in controlling and preventing hospital-acquired infection. It is deserving of recommendation and spreading.

关 键 词：重症监护病房 医院感染 目标监测 

分 类 号：R473.5[医药卫生—护理学]