重症监护病房医院感染目标性监测及危险因素分析  

Target monitoring of nosocomial infection in intensive care unit and analysis of risk factors

作　　者：余红[1] 杨惠英[1] 王胜[1] 

机构地区：[1]上海市第十人民医院医院感染管理科,上海200072

出　　处：《中华医院感染学杂志》2011年第18期3804-3805,共2页Chinese Journal of Nosocomiology

摘　　要：目的对医院重症监护病房(ICU)发生医院感染的情况开展目标性监测,探讨降低医院感染率的措施。方法对2009年6月1日-2010年5月30日,入住ICU患者进行前瞻性监测,重点监测呼吸机相关性肺炎、血管导管相关性血流感染、导尿管相关泌尿道感染,医院感染病例均按要求填写医院感染病例登记表,对监测数据进行统计学处理。结果 ICU医院感染发生率14.3%,感染例次率为18.8%,日感染率为19.8‰;最常见部位为下呼吸道感染,其次为泌尿道、血液感染,ICU医院感染最常见病原菌为铜绿假单胞菌和不动杆菌属,其次为金黄色葡萄球菌。结论 ICU是医院感染的高发病区,只有加强监测和控制,积极进行干预,才是降低ICU医院感染发生的有效办法。OBJECTIVE To develop the target monitoring and explore the measures to reduce infection rate based on the occurrence of nosocomial infections in ICU.METHODS The patients enrolled in ICU from Jun 1st 2009 to May 30,2010 were analyzed prospectively.The items needed to be particularly monitored were ventilator-associated pneumonia and catheter-related urinary tract infection.The nosocomial infection cases must be registered on the requirement,the monitoring data was statistically analyzed.RESULTS The incidence rate of infection in ICU was 14.3%,the case-time rate of infection was 18.8%,and daily infection rate was lower 19.8‰;the most common infected site was respiratory tract,followed by urinary tract and blood.The most common pathogens causing nosocomial infections in ICU were Pseudomonas aeruginosa and Acinetobacter,followed by Staphylococcus aureus.CONCLUSION ICU is the ward with high incidence of nosocomial infection,only strengthen the monitoring and control and positively perform the intervention,can we reduce the incidence of nosocomial infections in ICU effectively.

关 键 词：重症监护病房 医院感染 监测 

分 类 号：R181.32[医药卫生—流行病学]