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目的了解医院重症监护病房医院感染情况,为医院感染防控提供科学依据。方法通过目标性监测,对某医院重症监护病房医院感染情况及其相关危险因素进行了监测分析。结果该医院重症监护病房610例住院患者,发生医院感染249例次,例次感染率为40.82%,患者日感染发病率40.29‰,调整感染发病率10.89‰。105例使用呼吸机的住院患者中,发生医院感染69例次,例次感染率为65.71%,其中40.63%为呼吸机相关肺炎。结论该重症监护病房医院感染发生率较高,使用呼吸机的病人呼吸机相关肺炎发病率也较高,应有针对性地加强防控措施。
Objective To understand the hospital infection in hospital intensive care unit and provide a scientific basis for prevention and control of nosocomial infection. Methods By means of targeted monitoring, the hospital infection and its related risk factors in a hospital intensive care unit were monitored and analyzed. Results The hospital intensive care unit 610 hospitalized patients, 249 cases of hospital infection occurred, the case-count infection rate was 40.82%, the incidence of daily infection of patients 40.29 ‰, the incidence of infection adjusted 10.89 ‰. Of the 105 hospitalized patients with ventilator, 69 cases were hospital-acquired nosocomial infection, with the rate of 65.71% as the second case infection, of which 40.63% were ventilator-associated pneumonia. Conclusion The incidence of nosocomial infections in the intensive care unit is high. The incidence of ventilator-associated pneumonia in patients using ventilator is also higher, and prevention and control measures should be strengthened in a targeted manner.