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目的了解急诊重症监护病房(EICU)医院感染情况及其危险因素,以加强医院感染防控措施。方法采取回顾性调查方法,对该医院EICU 2009-2010年收治的住院患者医院感染现状进行了调查。结果在2年内该医院EICU共收治住院患者469例,发生院内获得性感染患者48例、65例次,医院感染率为10.2%、例次感染率为13.9%。医院感染高发部位为下呼吸道和泌尿道,感染构成比分别为55.4%和16.9%。患者的严重基础病,机械通气、血管插管留置和尿管留置等侵入性操作构成医院感染危险因素。结论该医院EICU住院患者医院感染发生率较高,危险因素明确,应有针对性地加强防控措施。
Objective To understand the hospital infection and its risk factors in emergency intensive care unit (EICU) so as to strengthen the prevention and control measures of nosocomial infection. Methods A retrospective survey was conducted to investigate the prevalence of nosocomial infections in hospitalized patients admitted to EICU during 2009-2010. Results In 2 years, 469 inpatients were hospitalized with EICU in our hospital. There were 48 cases with acquired nosocomial infections in 65 cases. The hospital infection rate was 10.2% and the infection rate was 13.9%. The high incidence of nosocomial infections was lower respiratory tract and urinary tract, and the infection proportions were 55.4% and 16.9% respectively. Patients with severe underlying diseases, mechanical ventilation, vascular catheter indwelling catheter incision and other invasive operations constitute risk factors for nosocomial infection. Conclusion The incidence of nosocomial infections in hospitalized patients with EICU is high and the risk factors are clear. Prevention and control measures should be strengthened in a targeted manner.