摘要
目的分析ICU医院感染的现状,探讨医院感染控制对策,为更有效控制医院感染提供依据。方法前瞻性调查结合回顾性调查ICU住院患者临床资料,对调查数据进行统计处理。结果监测期间共发生医院感染191例、361例次,医院感染率33.81%、例次感染率63.89%,患者感染部位主要是下呼吸道感染,其次是泌尿道、静脉导管相关性感染和血液,分别占48.20%、29.09%、8.03%、8.03%;191例医院感染中气管切开168例占87.96%,呼吸机使用165例占86.39%,泌尿道插管117例占61.26%。结论 ICU医院感染率高,危险因素多,应针对危险因素采取相应的预防措施与控制对策。
OBJECTIVE To analyze the current situation of nosocomial infections in ICU and explore the control measures for nosocomial infections so as to effectively control the nosocomial infections.METHODS The clinical data of the hospitalized patients in the ICU were investigated prospectively and retrospectively,and statistics were taken for analysis.RESULTS There were totally 191 patients and 361 case-times of nosocomial infections during the monitoring,the nosocomial infection rate was 33.81%,and the case-time infection rate was 63.89%,the main infection sites of the patients were lower respiratory tract infections（48.20%）,followed by urinary tract infections（29.09%）,vascular correlation（8.03%） and blood（8.03%）.Of 191 patients with nosocomial infections,there were 168（87.96%） patients who underwent the tracheotomy,165（86.39%） patients who used ventilator,and 117（61.26%） patients who underwent urinary tract catheterization.CONCLUSION The incidence of nosocomial infections in the ICU is high and there are so many risk factors that it is necessary to take corresponding prevention and control countermeasures.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第3期520-521,524,共3页
Chinese Journal of Nosocomiology
关键词
重症监护病房
医院感染
控制对策
Intensive care unit
Nosocomial infection
Control countermeasures
