综合ICU医院感染的监测与控制  

Surveillance and Control of Nosocomial Infection in ICU of General Hospitals

作　　者：栾丽莉[1] 朱琪[1] 杨宝忠[1] 

机构地区：[1]宁夏医科大学附属医院医院感染科,宁夏银川750004

出　　处：《中华医院感染学杂志》2010年第18期2759-2761,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析综合性医院ICU医院感染的发病率、感染部位分布及环境物品的污染情况,为制定医院感染控制措施提供依据。方法对医院ICU近3年收治的2115例患者进行医院感染前瞻性调查,同时对相关的环境物品进行微生物学监测。结果感染发生率为13.14%,感染部位占前3位的是呼吸道感染63.06%、胃肠道感染8.05%和泌尿道感染11.94%;工作状态下环境物品的污染率56.00%。结论 ICU感染发生率高,以呼吸道感染最为常见,环境物品的污染严重;应建立完善的ICU感染监测制度,并采取积极的预防和控制措施,加强环境物品的消毒管理,合理使用抗菌药物。OBJECTIVE To analyze the incidence of nosocomial infection,infection site and the environmental pollution of the objects in the ICU ward of the general hospitals,to provide basis for preventing nosocomial infection.METHODS A prospective survey of 2115 nosocomial infected cases in ICU ward of our hospital in recent 3 years was conducted,microbiology of the objects related to the environment was monitored.RESULTS The nosocomial infection rate was 13.14%,the top 3 sites of infections were respiratory tract infection,（8.05%） gastrointestinal tract infections（63.06） and urinary tract infection（11.94%）.the pollution rate of objects was 56.00% under the working state.CONCLUSION The infection rate is high in ICU wards,the most common type of nosocomial infection is respiratory tract infection,the environmental pollution of objects is serious.The perfect surveillance system of nosocomial infection in ICU ward should be established,and the positive prevention and control measures should be taken,the management of disinfection of environment and objects and the reasonable application of antibiotics should be enhanced.

关 键 词：重症监护病房 医院感染 监测 控制 

分 类 号：R181.32[医药卫生—流行病学]