外科重症监护室医院感染危险因素分析与护理对策  

Analysis of Risk Factors of Iatrogenic Infection in Surgical Intensive Care Unit and Its Strategy of Nursing.

作　　者：胡正红[1] 李和姐[1] 顾秋莹[1] 陶祥龄[1] 

机构地区：[1]上海第二医科大学附属瑞金医院,200025

出　　处：《上海护理》2003年第3期1-3,共3页Shanghai Nursing

摘　　要：目的　探讨外科重症监护室 (SICU)获得性医院感染的危险因素和感染情况 ,为降低医院感染的发病率及病死率提供依据。方法　采取回顾性调查方法 ,对 2 0 0 1年 1月～ 6月我院SICU 5 8例住院病例中 2 3例医院感染病例进行调查分析 ,制定护理对策。结果　SICU患者医院感染率为39 7% ,例次感染率为 75 9% ,千住院日感染率为 16 5 % ,胰腺类疾病和恶性肿瘤感染率高 ,为18 9%及 8 6 %。结论　加强消毒灭菌工作 ,减少侵袭性诊治手段带来的感染机会 。Objective To explore the risk factor and status of iatrogenic infection in Surgical Intensive Care Unit (SICU) hoping to reduce the incidence of infection and death rates in the hospital. Method Data of fifty eight cases admitted in the hospital from January to June 2001 were collected and analyzed, and strategy of nursing was designed. Results The incidence of iatrogenic infection in SICU was 39.7%, and the infection rates in patients with pancreatic disease and malignant tumor were 18.9% and 8.6% respectively. Conclusion Intensification sterilization, reduction of the use of invasive method of diagnosis and treatment that is the possible sourse of infection and effective nursing care have important rule in reducing the incidence of iatrogenic infection.

关 键 词：外科重症监护室 医院感染 危险因素 护理 

分 类 号：R473.6[医药卫生—护理学]