摘要
目的了解我院重症监护病房(ICU)患者的医院感染发生率及危险因素,分析侵入性操作对ICU患者医院感染的影响。方法对我院2009年4月—2010年3月404例入ICU住院患者发生的医院感染进行目标监测及调查,分析ICU住院患者的临床资料。结果 404例入ICU患者中发生医院感染者130例(占32.18%),患者日感染率为2.51%。医院感染部位以肺部感染为主,其次为尿路、血液系统感染。404例患者中留置尿管患者357例,感染率为5.44%;中心静脉插管404例,感染率为2.48%;使用呼吸机患者319例,感染率为20.30%。结论医院感染部位以肺部感染为主,其次为尿路、血液系统感染;侵入性操作是导致医院感染发生的重要因素之一。
Objective To understand the incidence of nosocomial infections and their risk factors among ICU patients in our hospital,especially the influences of invasive procedures.Methods The clinical data of 404 ICU hospitalized patients who were treated from April 2009 to March 2010 were retrospectively analyzed.Results Of these 404 ICU patients,130（32.18%）suffered from infections,with a daily infection rate of 2.51%.Lung was the most frequently affected location,followed by urinary tract and blood system.The infection rate was 5.44% among 357 patients who had undergone urinary canal lien,2.48% among 404 patients who had undergone central venous intubation,and 20.30% among patients with ventilator.Conclusion Lung,urinary tract,and blood system are easy to be infected during ICU stay.Invasive procedures are risk factors of nosocomial infections in ICU patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第32期3686-3687,3691,共3页
Chinese General Practice
关键词
重症监护病房
感染
侵入性操作
导管
留置
Intensive care units
Infection
Intrusive operations
Gatheters
indwelling
