摘要
目的为加强ICU医院感染管理,探索目标性监测在ICU实施效果。方法确定ICU前瞻性研究计划、制定ICU患者日志,对2006年1月-2007年12月进入医院ICU的患者进行前瞻性调查,并对监测结果进行研究分析。结果2年共调查患者3917例,感染217例,千日床位感染率为11.7‰,2006、2007年患者千日床位感染率分别为13.4‰、10.0‰,2007年较2006年下降3.4‰;2年动静脉插管相关血液感染率分别为1.2‰、0.9‰,呼吸机相关肺部感染率分别为14.2‰、6.0‰,尿路插管相关泌尿道感染率分别为4.1‰、2.8‰,分别下降0.3‰、8.2‰、1.3‰;医院感染以呼吸机相关性肺部感染为主,ICU中肝移植重症监护病房感染率最高。结论ICU前瞻性目标监测是一种科学的监测方法,便于及时掌握ICU医院感染动态变化,制定有效感染控制措施,值得借鉴与推广。
OBJECTIVE To strengthen and explore the effect of target monitoring in ICU. METHODS To put out prospectively the target monitoring of the nosocomial infection in ICU from Jan 2006 to Dec 2007. RESULTS A total of 3917 patients were monitored and 217 of them suffered from infection. The day infection rate was 11.7‰, and the infection rater per thousand day were 13.4‰, 10.0‰in 2006 and 2007, respectively. The infection rate related to urinary catheter, central venous catheter and ventilator were 1.2‰, 0.9‰, 4. 1‰, 2.8‰, 14.2‰, 6.0‰ in the past two years, respectively. It decrease 0. 3‰, 1.3‰, 8. 2‰, respectively. Ventilator-associated infection was the main infection part of hospital infection, and the patients after liver transplantation ICU had the highest infectionrate. CONCLUSIONS Prospective target monitoring is a scientific monitoring method that plays an important role in controlling and preventing hospital-acquired infection. It deserves recommendation.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第9期1083-1085,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
ICU
目标监测
Hospital infection
ICU
Target monitoring
