综合干预措施对防控ICU鲍曼不动杆菌感染的研究  

Study on prevention and treatment of acinetobacter baumannii infection in ICU by comprehensive intervention measures

作　　者：侯艺蕾[1] 戴茹[1] 杨彩艳[1] 赵忠[1] 张芳[1] 马涛[1] 杜龙敏[1] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001

出　　处：《宁夏医学杂志》2017年第5期408-410,共3页Ningxia Medical Journal

基　　金：宁夏医科大学校级科研项目(XM201476)

摘　　要：目的了解某院重症监护病房(ICU)鲍曼不动杆菌医院感染现状,评价综合干预措施对防控鲍曼不动杆菌感染的效果。方法对该院ICU医院感染情况进行监测,并实施针对性的干预措施,比较干预前后鲍曼不动杆菌医院感染发病率、多药耐药鲍曼不动杆菌(MDRAB)检出率及综合干预措施执行率。结果干预组鲍曼不动杆菌医院感染发病率为6.46%(19/294),低于未干预组的11.19%(30/268),差异有统计学意义(P<0.05)。干预组多药耐药鲍曼不动杆菌检出率为22.97%,低于未干预组的35.97%,差异有统计学意义(P<0.05)。干预组各项干预措施的执行率均高于未干预组,差异有统计学意义(P<0.0 5)。结论主动开展鲍曼不动杆菌医院感染目标性监测能及时反映感染控制工作中的薄弱环节,通过采取综合干预措施能有效控制医院感染的发生。Objective To investigate the status of nosocomial infection of acinetobacter baumannii in an intensive care unit （ICU） of hospital,and to evaluate the effect of comprehensive intervention on the prevention and control of acinetobacter infection in Bauman. Methods The situation of ICU in the hospital infection monitoring and implementation of targeted interventions were compared Bauman real incidence before and after the intervention, multi drug resistant acinetobacter Bauman causing nosocomial infection （MDRAB） detection rate and execution rate of comprehensive intervention measures. Results The Bauman real incidence of nosocomial infection was 6.46% （19/294） in intervention group,it was lower than that in untreated group 11.19% （30/268）, the difference was statistically significant （ P 〈 0.05 ）. The of muhidrug resistant Acinetobacter Bauman detection rate was 22.97% in intervention group, it was lower than that in untreated group 35.97%. The interventional measures in intervention group were better than that in the untreated group, the differences were statistically significant （ P 〈 0.05 ）. Detection rate of multi drug resistant acinetobacter baumannii in intervention group Bauman was lower than that of the untreated group. Conclusion The target surveillance of acinetobacter baumannii nosocomial infection can reflect the weak link in the infection control work in time, and it can effectively control the occurrence of nosocomial infection by taking comprehensive intervention measures.

关 键 词：重症监护病房 鲍曼不动杆菌 医院感染 发病率 综合干预措施 

分 类 号：R446.5[医药卫生—诊断学]