ICU目标性监测分析与干预效果评价  

Target monitoring in intensive care unit and evaluation of effect of interventions

作　　者：朱熠[1] 张淑敏[1] 娜依兰[1] 吴燕子[1] 

机构地区：[1]新疆生产建设兵团医院院感办,新疆乌鲁木齐830002

出　　处：《中华医院感染学杂志》2012年第23期5334-5336,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析重症监护病房(ICU)实施导管相关性感染干预措施,评价其有效性,以降低导管相关性感染率。方法对2010年1-12月和2011年1-12月入住ICU患者资料进行分析,采用目标性监测方法,对2011年患者采取导管相关性感染干预措施。结果采取干预措施后,调整后的日感染例次发病率由2010年的23.08‰下降至2011年的13.48‰;导管相关性感染率均有不同程度下降,其中呼吸机相关性肺炎发生率下降幅度最大,由2010年的5.20%下降至2011年的3.25%;医院感染以肺部感染为主,两年共检出90株病原菌,以革兰阴性菌为主。结论在ICU采取医院感染预防干预措施能明显降低感染率。OBJECTIVE To evaluate the effectiveness of the interventions measures for the catheter-related infections in the intensive care unit and assess the efficacy of the interventions so as to reduce the incidence of cath- er-related infections. METHODS The clinical data of the patients who enrolled the ICU from Jan to Dec, 2010 and from Jan to Dec 2011 were analyzed, by means of the targeted monitoring, the corresponding intervention measures for catheter-related infections were undertaken in 2011. RESULTS After the intervention measures, the daily nosocomial infection rate decreased from 23.08% in 2010 to 13.48%in 2011;the catheter-related infection rate decreased in varying degrees, the incidence of ventilator-associated pneumonia was with the largest decline, decreasing from 5.04% in 2010 to 3. 25% in 2011. The pulmonary infections dominated the nosocomial infections, totally 90 strains of pathogens were isolated during the two years, among which the gram-negative bacteria were dominant. CONCLUSION Taking prevention intervention in ICU can significantly reduce the infection rate.

关 键 词：医院感染 重症监护病房 导管相关性感染 

分 类 号：R197.323[医药卫生—卫生事业管理]