摘要
目的分析综合性重症监护病房(ICU)住院患者医院感染状况及特点,为降低医院感染率提供依据。方法选取山东省某三级甲等医院2004年1月-2009年12月入住ICU患者1 719例,进行目标性监测,由感染科和ICU护士分别记录患者在ICU发生的感染和转出ICU48 h内发生的感染情况。结果 1 719例患者中,发生医院感染530例,医院感染率为30.95%;住院天数共计25 980 d,其中尿管留置率68.93%;动静脉导管留置率为35.65%;呼吸机留置率为44.53%;感染部位以下呼吸道为主,占67.25%;感染病原菌以革兰阴性杆菌中铜绿假单胞菌感染为主,占13.61%,其次是金黄色葡萄球菌,占9.52%。结论 ICU患者是医院感染的易感人群,应加强对ICU的目标性监测,根据监测结果采取针对性干预措施,降低感染发生率,提高医疗质量。
Objective To analyze the state of nosocomial infection among inpatients in general intensive care unit（ICU）,and to provide evidence for reducing hospital infection rate.Methods Using target monitoring method we comprehensively analyzed 1719 patients admitted into general ICU from Jan,2004 to Dec,2009.Results The infection rate of the patients was 30.95%.The main infection site was lower respiratory tract and the main bacteria were Gram negative bacilli and Gram positive cocci.Gram stained negative bacilli were the main pathogens for nosocomial infection,among which pseudomonas aeruginosa was on the top causing 13.61% of all infection cases,followed by Staphylococcus aureus causing 9.52% of all infection cases.Conclusion The patients in ICU are susceptible population of nosocomial infection.Much more attention should be paid to target monitoring in ICU and intervention should be taken to reduce the prevalence of nosocomial infection.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2010年第9期1208-1209,共2页
Chinese Journal of Public Health
基金
山东省科技攻关项目(2007GG10002009)
