2017-2019年重症监护病房医院感染目标性监测分析  

Targeted Surveillance Analysis of Nosocomial Infection in ICU During 2017-2019

作　　者：陈燕珍 李彤[1] 余华容 廖丽[1] Chen Yan-zhen;Li Tong;Yu Hua-rong;Liao Li(Xinyi People's Hosptial,Xinyi 525300,Guangdong Province,China)

机构地区：[1]信宜市人民医院,广东信宜525300

出　　处：《中国社区医师》2022年第14期166-168,共3页Chinese Community Doctors

摘　　要：目的:了解信宜市人民医院ICU医院感染现状,为提高ICU医院感染管理水平提供科学依据。方法:对2017-2019年ICU住院患者进行目标性监测。结果:根据2017-2019年ICU的医院感染的人数以及实际发生的情况可以看出,近三年监测人数在不断地增加,而且相关的感染人数也不断地增加,感染发病率也是出现了增加,这说明近三年ICU的病床的使用数量在不断地增加以及使用频繁。医院感染例次发病率为5.7%,日感染例次发病率10.34‰。呼吸机相关性肺炎日感染率3.4‰,导管相关血液日感染率0.77‰;导尿管日感染率1.93‰。共检出多重耐药菌株171例,多重耐药发现率6.96%,多重耐药医院感染发病率1.65‰。多重耐药医院感染菌株以鲍曼不动杆菌为主,其次是产超广谱β-内酰胺酶细菌肺炎克雷伯菌。结论:开展ICU目标性监测工作,有助于进一步做好ICU医院感染管理工作,将各类医院感染发生率降到最低。Objective:To understand the status of nosocomial infection in ICU of a hospital in western Guangdong,and provide scientific basis for improving the management level of nosocomial infection in ICU.Methods:The ICU inpatients were subject to targeted surveillance from 2017 to 2019.Results:According to the number of nosocomial infections in ICU from 2017 to 2019 and the actual incidence,the number of people monitored has been increasing in the past three years,the number of related infected patients has continuously increased,and the incidence of infection has also increased.This evidence shows that the number of ICU beds has been increasing and frequently used in the past three years.The incidence rate of hospital infection case was 5.7%,and the daily incidence rate of infection case was 10.34‰.The daily infection rate of ventilator-associated pneumonia was 3.4‰,that of catheter-related blood was 0.77‰,and that of urinary catheter was 1.93‰.A total of 171 multiple drug-resistant strains were detected,multiple drug-resistant detection rate was 6.96%,multiple drug-resistant hospital infection rate was 1.65‰.Acinetobacter baumannii was the main multiple drug-resistant strain,followed by extended spectrumβ-lactamase producing Klebsiella pneumoniae.Conclusion:Targeted surveillance in ICU is helpful to further improve the management of nosocomial infection in ICU and minimize the incidence of various types of nosocomial infection.

关 键 词：医院感染 目标性监测 多重耐药菌 重症医学科 

分 类 号：R197.323[医药卫生—卫生事业管理]