2017-2019年上海55所医院ICU导管相关性感染监测分析  

Surveillance of catheter-related infection in ICUs of 55hospitals in Shanghai from 2017to 2019

作　　者：王志翔[1,2] 张会娟 李怡[3] 史庆丰[4] 陈翔[4] 高晓东[4] 胡必杰[4] WANG Zhi-xiang;ZHANG Hui-juan;Li Yi;SHI Qing-feng;CHEN Xiang;GAO Xiao-dong;HU Bi-jie(Ningxia People′s Hospital(The First Affiliated Hospital of Northwest University for Nationalities),Yinchuan,Ningxia 750001,China;不详)

机构地区：[1]宁夏回族自治区人民医院(西北民族大学第一附属医院)医院感染管理科,宁夏银川750001 [2]宁夏回族自治区人民医院(西北民族大学第一附属医院)护理部,宁夏银川750001 [3]宁夏回族自治区人民医院(西北民族大学第一附属医院)中心实验室,宁夏银川750001 [4]复旦大学附属中山医院医院感染管理科,上海200032

出　　处：《中华医院感染学杂志》2021年第18期2864-2867,共4页Chinese Journal of Nosocomiology

基　　金：上海市医院协会医院管理研究基金资助项目(Q2020-008)。

摘　　要：目的了解2017-2019年上海市55所二级及以上医院重症监护室(ICU)导管相关感染现状,为进一步减少导管相关性感染提供科学依据与对策。方法根据导管相关感染诊断标准,通过上海市医院感染监测报告系统,对上海市55所医院连续三年ICU患者导管使用情况及感染率进行监测分析。结果2017-2019年共监测上海市55所二级及以上医院,调查患者322171例,ICU床日数为1622851d。连续三年ICU医院呼吸机相关肺炎(VAP)感染发病率、血管导管相关血流感染(CRBSI)发病率、泌尿道插管相关泌尿道感染(CAUTIs)发病率分别为6.10‰、6.38‰、4.92‰;1.54‰、1.70‰、1.51‰;0.81‰、0.84‰和0.60‰。不同年份、医院等级、类型,ICU类型“三管”感染率比较差异均有统计学意义(P<0.05)。结论上海市连续三年“三管”发病率持续走低,医院等级、类型,ICU类型“三管”感染发病率均有差异,应针对性的强化二级医院以及综合医院的导管相关感染防控措施,以减少医院感染发生,保障患者就医安全。OBJECTIVE To retrospectively understand the current status of catheter-related infection in intensive care units(ICUs)of 55secondary and above hospitals in Shanghai from 2017to 2019so as to provide scientific basis for further reducing incidence of catheter-related infection and take countermeasures.METHODS According to the criteria for diagnosis of catheter-related infection,the status of use of catheters and incidence rates of infection in ICU patients of 55hospitals in three consecutive years were monitored and analyzed through Shanghai Hospital Infection Monitoring and Reporting System.RESULTS Totally 322171patients were included in the survey involving 55secondary and above hospitals in Shanghai from 2017to 2019,with the number of ICU bed-days 1622851 days in total.The incidence rates of ventilator-associated pneumonia(VAP)were respectively 6.10‰,6.38‰and 4.92‰in the three consecutive years,the incidence rates of catheter-related bloodstream infection(CRBSI)were respectively 1.54‰,1.70‰and 1.51‰,and the incidence rates of catheter-associated urinary tract infections(CAUTIs)were respectively 0.81‰,0.84‰and 0.60‰.There were significant differences in the incidence rates of the′three catheters′-related infections among different years,grades and types of hospitals,and types of ICUs(P<0.05).CONCLUSIONThe incidence of the′three catheters′-related infections decline continuously in Shanghai in the three consecutive years.There are significant differences in the incidence rates of the′three catheters′-related infections among different grades,types of hospitals and types of ICUs.It is necessary to take targeted measures to strengthen the prevention and control of catheter-related infection in the secondary hospitals and general hospitals so as to reduce the incidence of nosocomial infection and keep the patients safe.

关 键 词：医院感染 重症监护室 导管相关性感染 

分 类 号：R197[医药卫生—卫生事业管理]