CCU医院感染的因素分析  

Factors of nosocomial infections in geriatric coronary care unit

作　　者：甄莉莉[1] 涂国红[1] 许秀丽[1] 

机构地区：[1]解放军总医院南楼心脏监护室,北京100853

出　　处：《中华医院感染学杂志》2011年第22期4691-4692,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解老年冠心病监护病房(CCU)危重患者医院感染情况,为预防老年CCU医院感染提供客观依据,降低医院感染率。方法对2008年1月-2010年12月老年CCU收治的372例危重患者进行回顾性调查。结果 372例患者中发生医院感染18例,感染率为4.8%;其中呼吸道感染13例,占72.2%,其次为导管相关性血流感染3例,占16.7%,胃肠道感染2例占11.1%。结论建立完善的病室感染管理制度,严格无菌操作,尽量减少侵入性操作,合理使用抗菌药物,严格控制探视等,是降低老年CCU医院感染发生率的主要措施。OBJECTIVE To learn and provide the actual infection of senile critical patients at geriatric CCU for preventing and lowering the ratio of infection. METHODS We retrospectively investigated the exact infective practice of critical elderly patients in gerontics CCU from Jan 2008 to Dec 2010. RESULTS 18 patients out of 372 senile patients,were infected whose mean age were（82±3.56）,the infection rate was 4.8%,among which,13 cases were respiratory tract infection,accounting for 72.2%.followed by 3 cases of catheter-related bloodstream infections,accounting for 16.7% and 2 cases of gastrointestinal tract infections,accounting for 11.1%. CONCLUSION The key measures to lower the hospital infection ratio in senile CCU include the perfect communication manage system,strict visit,aseptic manipulation of medical staff,and reasonable antibiotic usage.

关 键 词：老年 冠心病监护病房 医院感染 因素分析 

分 类 号：R181.32[医药卫生—流行病学]