重症监护病房医院感染目标性监测分析与控制对策  

Comparative Analysis by Targeted Surveillance on Nosocomial Infection of ICU and Control Strategies

作　　者：郭金凤[1] 孙强[2] 吴燕[1] 王娟[1] 秦启玲[1] 

机构地区：[1]济宁医学院附属医院医院感染管理办公室,山东济宁272029 [2]济宁医学院附属医院医院综合监护室,山东济宁272029

出　　处：《中华医院感染学杂志》2010年第12期1683-1684,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解重症监护病房(ICU)医院感染发病特点,针对性地采取控制措施。方法采用目标性监测方法 ,对某院2009年1-12月5个ICU患者医院感染发病情况进行监测,并用患者平均病情严重程度调整感染发病率,同时对3种侵入性操作相关感染进行分析,提出具体的预防控制措施。结果呼吸机、导尿管和血导管相关性感染发病率最高者分别为综合科ICU 7.5%、神经外科ICU 4.8%、内科3.8%、急诊科ICU 3.5%。结论根据各ICU医院感染发生的特点针对性地进行干预以降低感染率。OBJECTIVE To investigate the occurrence characters of nosocomial infection in intensive care unit （ICU） in order to supply pertinent strategies for the control and prevention. METHODS By using the targeted surveillance, five patients who suffered from nosocomial infection were studied in one hospital from Jan to Dec in 2009. The incidence of nosocomial infection was adjusted by average severity of illness score （ASIS）. Meanwhile, the infections associated with three kinds of invasive operation were analyzed and practical methods for prevention and control of nosocomial infection were made. RESULTS The incidence of ventilator associated infection was highest in general ICU （7.5 % ）, urethral catheter associated infection was highest in emergency ICU（4.8 % ）, and blood catheter associated infection was highest in neurosurgery ICU （3.5%）. CONCLUSIONS According to the occurrence characters of nosocomial infection, the intervention with pertinence should be performed to decrease the incidence of nosocomial infection.

关 键 词：重症监护病房 医院感染 目标性监测 分析 预防控制 

分 类 号：R181.32[医药卫生—流行病学]