重症监护病房院内感染的危险因素及干预对策  

Risk factors for nosocomi infection in intensive care unit and Countermeasures

作　　者：唐香祝[1] 巫世庆[1] 江翠波 

机构地区：[1]广东省茂名市人民医院,广东茂名525000

出　　处：《世界最新医学信息文摘》2013年第19期397-398,共2页World Latest Medicine Information Electronic Version

摘　　要：目的分析重症监护病房患者院内感染的危险因素并制定相关干预措施。方法对2012年1月至2012年12月我院重症监护病房（ICU重症监护病房、外科ICU、呼吸重症监护病房、冠心监护病房1院内感染的危险因素进行调查，回顾性分析相应病例的临床资料．结果305例院内感染患者，以上呼吸道感染最常见，占50．16％，其次依次为泌尿道、胃肠道、血液、皮肤及其他感染。Logistic回归分析得出影响重症监护室院内感染的危险因素为：年龄、不合理使用抗生素、有创性操作，糖尿病，住院时间。结论合理使用抗生素，减少有创操作，同时积极治疗基础疾病，加强基础护理可减少院内感染的发生，降低患者死亡率。Objective To analyse the risk factors of hospital infection in intensive care patients and make relevant interventions. Methods To conduct the risk factors of nosocomial infection in our hospital intensive care unit （ICU, SICU ,PICU,CCU）from January 2012 to December 2012 and retrospectively analysis the clinical data of corresponding cases. cases.Results To 305 cases nosocomial infection patients, the most common, respiratory tract infections accounted for 50.16% ,followed bY urinary tract, gastrointestinal tract, blood, skin and other infections. Logistic regression analysis showed that ： age, irrational use of antibiotics, invasive operation, diabetes mellitus, longer hospital stays, were the risk factors of nosocomial infection in＇：intensive care unit .Conclusion The rational use of antibiotics, reduce invasive operation, at the same time, actively treat underlying diseases, strengthening basic nursing care can reduce the incidence ofnosocomial infection and mortality.

关 键 词：重症监护 院内感染 危险因素 

分 类 号：R[医药卫生]