重症监护室医院感染目标监测结果  

THE OBJECTIVE MONITORING RESULTS OF NOSOCOMIAL INFECTION IN ICU

作　　者：吴燕[1] 王娟[1] 郭金凤[1] 

机构地区：[1]济宁医学院附属医院感染管理科,山东济宁272029

出　　处：《中国消毒学杂志》2011年第1期50-51,54,共3页Chinese Journal of Disinfection

摘　　要：目的了解医院重症监护室医院感染发病情况,加强医院感染管理措施。方法采取目标监测的方法 ,对2009年1-3月本医院重症监护室住院患者医院感染发病情况进行了监测。结果该医院重症监护室在3个月内共入住1 501例患者,发生医院感染63例,70例次,医院感染发生率3.95%,例次感染率4.95%。同期住在ICU日数7 236 d,千日感染率8.71‰。感染部位以下呼吸道为主,占85.71%;其次是泌尿系统感染,占10.0%。呼吸机的使用,尿道插管和血管插管留置是医院感染主要危险因素。结论该医院重症监护室医院感染以呼吸道感染为主,各种插管是引发感染的主要危险因素。Objective To know the incidence of nosocomial infection in ICU,and to strengthen the hospital infection control measurement.Methods Target monitoring method was used to monitor the incidence of nosocomial infections in ICU from January to March in 2009.Results There were 1 501 patients admitted in 3 months in ICU,63 of patients and 70 cases got nosocomial infection.The nosocomial infections rate was 3.95%,and times/case infection rate was 4.95%.While living in ICU number was 7 236 d.The thousand days infection rate was 8.71‰.The major infection site was lower respiratory tract infection,accounting for 85.71%,the next was urinary tract infection,accounting for 10.0%.Ventilator using,urethral catheterization and vascular catheterization indwelling were the main risk factors for nosocomial infection.Conclusion The respiratory tract infection is the main nosocomial infection in ICU,the variety of intubation is the main risk factor for nosocomial infection.

关 键 词：重症监护 医院感染 危险因素 监测 

分 类 号：R197.323[医药卫生—卫生事业管理]