急诊重症监护病房医院感染分析  

An Analysis of Hospital Infection in the Emergency and Intensive Care Unit

作　　者：苏英[1] 应瑛[1] 干建新[1] 姚梅棋[1] 陈建裕[1] 郭芳珍[1] 陆群[1] 

机构地区：[1]浙江大学医学院附属第二医院,浙江杭州310009

出　　处：《浙江预防医学》2002年第6期3-4,共2页Zhejiang Journal of Preventive Medicine

摘　　要：目的　了解急诊重症监护病房 (EICU)医院感染的现状并提出处理措施。方法　对我院EICU1999～ 2 0 0 1年发生医院感染的 85例资料作回顾性分析。结果　EICU医院感染发生率为 14 66% ;感染部位以肺部多见 ,其次为泌尿系、胃肠道及血液感染 ;主要致病菌为铜绿假单胞菌、白色念珠菌、大肠杆菌及肠球菌 ;气管插管、气管切开机械通气、留置导尿等与EICU医院感染有关。结论　EICU医院感染与抗生素滥用及各种侵袭性操作有关 ,应严格无菌观念 。Objective To investigate the prevalence of hospital infections in the emergency and intensive care unit (EICU) and maybe explore the reasonable treatment measures.Methods Retrospective analysis was applied in the 85 cases of hospital infection in EICU from 1999 to 2001. Results The incidence rate of hospital infections in EICU was 14 66%; the most frequent sites of the infection was lungs, followed by urological system, gastrointestinal tract and the blood. Pseudonoas aeruginosa, Staphylococcus aureus, and Enterobacter were the most common pathogens. The trachea intubation, mechanical ventilation and indwelling catheterization of bladder were related to the infection.Conclusions The hospital infection in EICU is related to abuse of antibiotics and invasive examination. It is important that the aseptic concept and disinfection should be emphasized.

关 键 词：ICU 急诊 重症监护病房 医院感染 

分 类 号：R181.34[医药卫生—流行病学] R197.32[医药卫生—公共卫生与预防医学]