成人重症监护室的医院感染目标性监测分析与质量控制  

Target Monitoring of Nosocomial Infection in Adult ICU and Quality Control

作　　者：马盈盈[1] 陈凌燕[1] 杨彧[1] 

机构地区：[1]中山大学附属第三医院肝外ICU,510630

出　　处：《岭南急诊医学杂志》2011年第5期374-375,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:调查成人重症监护室(ICU)医院感染发生情况,探讨控制感染措施。方法:分析成人ICU2010年10月-2011年3月的住院患者目标性监测的结果,提出质量控制措施。结果:成人ICU医院感染发生率为39.97‰,2010年第4季度和2011年第1季度呼吸机相关性肺炎的发病率分别为33.6‰和19.4%‰;中心静脉插管相关血流感染发病率分别为4.9‰和3.9‰:尿管相关尿路感染的发病率分别为1.0‰和3.4‰。医院感染以呼吸机相关性肺炎为主,致病菌以革兰氏阴性杆菌为主。结论:目标性监测是一种前瞻性的有效监测方法,可为持续质量控制提供依据,值得在ICU等重点科室推广应用。Objective：To investigate the incidence of nosocomial infection in adult ICU and to explore control measurement of infection.Methods：Patients in adult ICU were investigated used target monitoring method from Oct 2010 to Mar 2011. The results were analyzed and quality control methods were offered. Results：The incidence of nosocomial infection was 39.97‰ in adult ICU. The incidence of ventilator associated pneumonia were 33.6‰ and 19.4‰, the incidence of catheter related blood stream infection were 4.9‰ and 3.9‰ ,the incidence of catheter associated urinary tract infection were 1.0‰ and 3.4‰ during the two quarters.Ventilator associated pneumonia was the main part of nosocomial infection. Most of pathogens were the Gram-negative bacilli. Conclusions：Target monitoring is a prospective and effective method. It can provide the evidence of continuous quality control. It deserves popularized in ICU.

关 键 词：重症监护室 医院感染 目标性监测:质量控制 

分 类 号：R197.3[医药卫生—卫生事业管理]