摘要
目的分析某综合医院ICU医院感染目标性监测数据,为干预措施的制定提供参考,从而降低感染率。方法采用前瞻性调查方法,对2012年1-12月入住综合ICU、神经内科ICU、心内科ICU患者的医院感染发生情况进行目标性监测,并对侵入性操作相关感染资料进行分析,所有数据采用SPSS软件进行统计分析。结果 3个ICU调查住院患者共1 452例,医院感染65例、96例次,感染率4.48%、例次感染率6.61%,综合ICU、神经内科ICU、心内科ICU分别调查483、329例和640例,发生医院感染38、20、7例,医院感染率分别为7.87%、6.08%、1.09%;3个ICU留置尿管、中心静脉导管、呼吸机使用率分别为53.03%、32.99%、23.83%;留置尿管相关性泌尿道日感染率为3.97‰,中心静脉置管相关性血流日感染率为3.87‰,呼吸机相关性肺炎日感染率10.12‰;ICU分离的66株病原菌中检出居首位的是鲍氏不动杆菌,占30.30%,且耐药严重,其次为白色假丝酵母菌和无名假丝酵母菌,均各占10.61%。结论综合ICU、神经内科ICU的留置尿管相关性泌尿道日感染率及综合ICU的中心静脉置管相关性血流日感染率均高于全国水平,需重点加强监测,严格落实感染控制措施。
OBJECTIVE To analyze the data of targeted surveillance of nosocomial infections in ICUs in a general hospital and put forward intervention measures so as to reduce the infection rate. METHODS By means of prospec- tive survey, the targeted surveillance of incidence of nosocomial infections was performed for the patients who were hospitalized the general ICU, ICU of neurology department, or ICU of cardiology department from Jan 2012 to Dec 2012, then the incidence of invasive operation-associated infections was analyzed, and all the data were statis- tically analyzed with the use of SPSS software. RESULTS Of totally 1 452 hospitalized patients in the three ICUs investigated, the nosocomial infections occurred in 65 cases （96 case-times） with the infection rate of 4.48% and the case-time infection rate of 6.61%. The nosocomial infection occurred in 38 of 483 patients in the general ICU, 20 of 329 patients in the ICU of neurology department, and 7 of 640 patients in the ICU of cardiology department, the incidence rates of nosocomial infections were 7.87 %, 6.08 %, and 1.09 %, respectively. The utilization rates of the indwelling urinary catheter, central venous catheter, and ventilator were respectively 53.03%, 32. 99%, and 23.83% in the three ICUs. The daily incidence of indwelling catheter-related urinary tract infections was 3.97‰, the daily incidence of the central-catheter-associated bloodstream infections was 3.87‰, and the daily in- cidence of the ventilator-associated pneumonia was 10. 12‰. Of the 66 strains of pathogens isolated from the ICUs, the Acinetobacter baumannii ranked the first place, accounting for 30.30%, and the strains were highly re- sistant to antibiotics; both Candida albicans and Candida famata accounted for 10.61%. CONCLUSION The dai- ly incidence of indwelling catheter-related urinary tract infections is higher in the general ICU, ICU of neurology department, or ICU of cardiology department than in the whole country level, while the daily incidence of central catheter-associated
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第13期3220-3222,共3页
Chinese Journal of Nosocomiology
基金
唐山市科技局科研基金资助项目(10150204A-52)
关键词
重症监护病房
医院感染
目标性监测
Intensive care unit
Nosocomial infection
Targeted surveillance
