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目的:检测综合性医院ICU医院感染发生率、感染发生部位和ICU环境中所有物品的感染情况,掌握ICU医院感染状况,根据监测结果,制定控制感染策略。方法:以浙江省常山县人民医院近3年来ICU收治的2225名患者为监测对象,根据医院感染监测原则,对感染发生率和感染部位,以及所有物品进行微生物学感染监测。结果:共发生感染278例(352例次),发生率为12.50%,感染例次率为15.28%。感染部位呼吸道感染占第1位,其次为泌尿道感染和胃肠道感染。结论:ICU科室因自身特点而易于发生感染,且感染发生率居高不下,针对感染状况,院内应建立更加科学的感染监测方法,根据监测结果采取具有针对性的感染控制策略,强化对ICU中所有物品的消毒隔离管理,对感染物品进行恰当处理可有效降低医院感染的发生。
OBJECTIVE: To detect the prevalence of nosocomial infections in ICU hospitals, the infection status of all the items in the infection site and the ICU environment, master the ICU nosocomial infection status, and develop control strategies based on the monitoring results. Methods: Twenty-two hundred and twenty-two patients admitted to ICU in Changshan County People’s Hospital of Zhejiang Province for the past three years were monitored. According to the principle of nosocomial infection monitoring, the infection incidence, infection site and all items were monitored by microbiological infection. Results: There were 278 cases (352 cases) of infection, the incidence rate was 12.50% and the infection rate was 15.28%. Infected parts of the respiratory tract infection accounted for No. 1, followed by urinary tract infections and gastrointestinal infections. Conclusion: ICU departments are prone to infection due to their own characteristics, and the incidence of infection is high. In view of the infection status, a more scientific infection monitoring method should be established in the hospital. According to the monitoring results, a targeted infection control strategy should be adopted to strengthen the ICU Disinfection and isolation management of all items, the proper treatment of infected items can effectively reduce the incidence of nosocomial infections.