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目的了解河北省唐山市某三甲医院综合重症监护病房(ICU)医院感染的特点,以便有针对性地进行防控,降低医院感染发生率。方法选取2015年1月-2015年12月入住ICU的全部患者进行目标性监测,将数据汇总整理,分析监测结果。结果共调查ICU患者1 431例,发生感染122例,感染率为8.5%,男性患者医院感染率与女性患者比较,差异有统计学意义(P<0.05),男性患者医院感染率高于女性患者。感染部位主要分布在血液系统(44.7%)和呼吸道(36.5%)。共检出的病原菌192株,以革兰阴性菌(80.2%)为主,革兰阳性菌(17.7%)34株,真菌(2.1%)4株,其中鲍曼不动杆菌的检出率(24.5%)最高。结论 ICU医院感染率高,鲍曼不动杆菌感染及耐药严重,应制定有效的预防控制措施,降低医院感染的发生率。
Objective To understand the characteristics of Nosocomial Infection in Intensive Care Unit (ICU) in a top three hospital in Tangshan City, Hebei Province in order to prevent and control it in a targeted manner and reduce the incidence of nosocomial infection. Methods All the patients admitted to the ICU from January 2015 to December 2015 were selected for targeted monitoring. The data were collected and analyzed to analyze the monitoring results. Results A total of 1 431 ICU patients were investigated, 122 cases were infected and the infection rate was 8.5%. The prevalence of nosocomial infection in male patients was significantly higher than that in female patients (P <0.05). The prevalence of nosocomial infection in male patients was higher than that in female patients . Infections were mainly found in the blood system (44.7%) and respiratory tract (36.5%). A total of 192 pathogenic bacteria were detected, of which Gram-negative bacteria (80.2%) were predominant, 34 strains of Gram-positive bacteria (17.7%) and 4 strains of fungi (2.1%), of which Acinetobacter baumannii 24.5%) the highest. Conclusion ICU hospital infection rate, Acinetobacter baumannii infection and drug resistance serious, effective prevention and control measures should be developed to reduce the incidence of nosocomial infections.