摘要
目的 了解综合ICU留置导管患者医院感染特点,为预防和控制医院感染提供依据。方法 收集2013年1月~2015年12月ICU监测数据,调查住院患者导管相关性感染发生情况。结果 综合3年2855例患者发生医院感染269例,感染例次发生率为9.42%,日感染率为27.83‰;发生导管相关性感染174例,占ICU医院感染的64.68%;呼吸机相关性肺炎、中心静脉导管相关血流感染、导尿管相关尿路感染日感染率分别为26.66‰、3.06‰和3.22‰;3种导管相关性感染日感染率经年度趋势性卡方检验,差异有统计学意义（P〈0.05）;医院感染病原菌以革兰阴性菌为主,其中鲍氏不动杆菌检出率最高。结论 综合ICU医院感染的主要类型是导管相关性感染,以呼吸机相关性肺炎发生率最高。
Objective To explore the characteristics of nosocomial infection in patients with indwelling catheter in ICU and to provide evidence for the prevention and control measures through the analysis of the surveillance data of catheter-associated infections in the ICU patients.Methods The incidence of catheter related infections in hospitalized patients were monitored by collecting from January 2013 to December 2015.Results The nosocomial infections occurred in 269 of 2855 patients with the infection rate of 9.42% and daily infection rate was 27.83%e;there were 174 （64.88%） patients with catheter-associated infections;the incidences of ventilator-associated pneumonia,venous catheter-associat- ed bloodstream and urinary catheter-associated urinary tract was 26.66%e,3.06%e,3.22%v;the annual trend of chi square test of 3 kinds of catheter related infection rate of infection of the day,the difference was statistically significant （P〈 0.05）.Gram negative bacteria were the main pathogens of nosocomial infection,and the detection rate of Acinetobacter baumannii was the highest.Conclusion Catheter-associated infection is the main type of nosocomial infection in ICU, and the incidence of ventilator associated pneumonia is the highest.
出处
《中国当代医药》
2016年第29期147-149,共3页
China Modern Medicine
关键词
重症监护病房
留置导管
导管相关性感染
Intensive care unit
Indwelling catheter
Catheter-associated infection
