综合性ICU医院感染目标性监测结果分析  

Targeted surveillance of nosocomial infections in general ICU

作　　者：王娇[1] 陈梦燕[1] 黄静[1] 

机构地区：[1]义乌市中心医院ICU,浙江义乌322002

出　　处：《中华医院感染学杂志》2015年第10期2242-2243,2264,共3页Chinese Journal of Nosocomiology

基　　金：浙江省科技厅科技基金资助项目(2013098732)

摘　　要：目的了解医院ICU患者发生医院感染的情况,以采取针对性的干预措施控制医院感染的发生。方法根据《医院感染目标性监测规范》,监测2012年2月-2013年2月入住ICU患者的医院感染率、日感染率、3种导管相关感染率、医院感染部位及感染病原菌分布。结果监测的655例患者中发生医院感染78例、82例次,医院感染率11.90%、例次感染率12.52%、日感染率13.84‰、例次日感染率14.55‰;中心静脉置管相关性血流感染率为0.56‰、导尿管插管相关泌尿道感染率为1.15‰、呼吸机相关性肺炎感染率为78.43‰;下呼吸道感染率为80.25%、血流感染率为7.41%、泌尿道感染率3.70%;感染病原菌以肺炎克雷伯菌检出最高,占42.74%。结论ICU的医院感染率较高,导管相关性感染为高风险性因素,应对病房管理采取相应的整改措施,从而减少医院感染的发生。OBJECTIVE To understand the prevalence of nosocomial infections in ICU patients and take targeted in‐terventions so as to control the nosocomial infections .METHODS According to the Standards for targeted surveil‐lance of nosocomial infections ,the incidence of nosocomial infections ,daily infection rate ,incidence of three types of catheter‐related infections ,nosocomial infection sites ,and distribution of pathogens in the ICU patients who were hospitalized from Feb 2012 to Feb 2013 were monitored .RESULTS The nosocomial infections occurred in 78 （72 case‐times） of 655 patients with the incidence of nosocomial infections of 11 .90% and the case‐time infection rate of 12 .52% ;the daily infection rate was 13 .84‰ ,and the case‐time daily infection rate was 14 .55‰ ;the inci‐dence of central venous catheter‐related bloodstream infections was 0 .56‰ ,the incidence of urinary catheter‐relat‐ed urinary tract infections was 1 .15‰ ,and the incidence of ventilator‐associated pneumonia was 78 .43‰ .The in‐cidence of lower respiratory tract infections was 80 .25% ,the incidence of bloodstream infections was 7 .41% ,the incidence of urinary tract infections was 3 .70% .The K lebsiella pneumoniae was dominant among the isolated pathogens ,accounting for 42 .74% .CONCLUSION The incidence of nosocomial infections is high in the ICU ,and the catheter‐related infections are the high risk factors .It is necessary to take targeted rectification measures of the ward management so as to reduce the incidence of nosocomial infections .

关 键 词：目标性监测 重症监护病房 导管相关感染 感染部位 

分 类 号：R181.32[医药卫生—流行病学]