综合性ICU医院感染目标性监测结果分析  

Analysis of targeted monitoring of nosocomial infection in a comprehensive ICU

作　　者：高芳[1] 邹俊宁[1] 罗倩倩[2] 黄海燕[2] 

机构地区：[1]华中科技大学同济医学院附属协和医院感染管理科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院ICU,湖北武汉430022

出　　处：《护理学杂志》2014年第3期56-58,共3页

摘　　要：目的通过对ICU医院感染实施目标性监测,及时发现医院感染相关问题并采取针对性防控措施。方法监测医院感染率、日感染率、3种导管相关感染率及医院感染部位分布等指标。结果监测1 311例中136例(169例次)发生医院感染,患者感染率为10.37%,例次感染率为12.89%。导尿管插管相关泌尿道感染率为0.843‰,中心静脉插管相关血流感染率为0.486‰,呼吸机相关肺部感染率为32.719‰。医院感染以下呼吸道为主(79.28%),其次是血液感染(7.69%),第3位是泌尿道感染(3.55%)。结论ICU医院感染率高,主要为3种导管相关性感染,注重ICU目标性监测有十分重要的作用,及时发现问题并进行干预能有效降低医院感染发生率。Objective To evaluate the status quo of nosocomial infection in ICU through targeted monitoring in order to find out the relevant problems and to adopt specific preventive measures. Methods Nosocomial infection rate, daily infection rate, infection rate of three types of catheters and distribution of infection sites were monitored. Results In the monitored 1 311 patients, 136 patients （169 case/time） developed nosocomial infection, with the infection rate being 10.37 % ; the case/time infection rate was 12.89 % ; the urinary catheter-related infection rate was 0. 843% ; the central venous catheters rate was 0. 486% ; the ventilator associated in- fection rate was 32. 719%. The top infection site was the lower respiratory tract accounting for 79. 28%, followed by bloodstream （7.69%）, and urinary tract （3.55%）. Conclusion ICUs have a high level of infection, mainly because of the three types of cathe- ters, hence it is important to pay more attention to targeted monitoring in ICU to find out problems in time to reduce the hospital infection rate.

关 键 词：重症监护病房 医院感染 目标性监测 分析研究 

分 类 号：R47[医药卫生—护理学] C931.2[医药卫生—临床医学]