论文部分内容阅读
目的分析综合性重症监护病房(ICU)住院患者医院感染状况及特点,为降低医院感染率提供依据。方法选取山东省某三级甲等医院2004年1月-2009年12月入住ICU患者1 719例,进行目标性监测,由感染科和ICU护士分别记录患者在ICU发生的感染和转出ICU48 h内发生的感染情况。结果 1 719例患者中,发生医院感染530例,医院感染率为30.95%;住院天数共计25 980 d,其中尿管留置率68.93%;动静脉导管留置率为35.65%;呼吸机留置率为44.53%;感染部位以下呼吸道为主,占67.25%;感染病原菌以革兰阴性杆菌中铜绿假单胞菌感染为主,占13.61%,其次是金黄色葡萄球菌,占9.52%。结论 ICU患者是医院感染的易感人群,应加强对ICU的目标性监测,根据监测结果采取针对性干预措施,降低感染发生率,提高医疗质量。
Objective To analyze the status and characteristics of nosocomial infections in intensive care unit (ICU) inpatients and provide the basis for reducing the nosocomial infection rate. Methods A total of 1 719 patients admitted to ICU from January 2004 to December 2009 in Shandong Grade A Hospital were selected for targeted surveillance. Infectious disease and ICU nurses respectively recorded the patients with ICU infection and transferred out of ICU 48 h Infection occurred within the situation. Results Among 1 719 patients, 530 cases were hospital infection and the rate of nosocomial infection was 30.95%. The hospitalization days were 25 980 days, of which the urinary catheter placement rate was 68.93%. The catheterization rate of arteriovenous catheter was 35.65%. The ventilator retention rate was 44.53 %. The main respiratory tract was below respiratory tract infection, accounting for 67.25%. The majority of infections with pathogenic bacteria were Pseudomonas aeruginosa infections, accounting for 13.61%, followed by Staphylococcus aureus (9.52%). Conclusion ICU patients are susceptible to nosocomial infection. Objective monitoring of ICU should be strengthened. According to the monitoring results, targeted interventions should be taken to reduce the incidence of infection and improve the quality of medical care.