摘要
目的调查综合ICU医院感染的发生情况,探讨其危险因素,为更好地预防控制综合ICU医院感染提供依据。方法对2011年1月-2012年2月入住综合ICU>48h的患者进行目标性监测,填写统一调查表并录入计算机进行统计。结果 505例患者中发生医院感染74例、93例次,感染率为14.65%、例次感染率为18.42%,平均病情严重程度3.74,调整患者日感染率3.49‰;发生呼吸机相关性肺炎20例次,导管相关性血流感染26例次,导尿管相关性尿路感染22例次,其他部位感染25例次;使用免疫抑制剂、使用激素、放化疗患者、昏迷、长期卧床患者与医院感染的发生有显著关系(P<0.05)。结论目标性监测能及时准确获得ICU医院感染相关危险因素,制定有效干预措施,降低医院感染发生率。
OBJECTIVE To investigate the incidence of nosocomial infections in comprehensive ICU and explore riskfactors so as to provide the evidence for prevention and control of the nosocomial infections in the comprehensive ICU. METHODS A targeted surveillance was conducted for patients who have been hospitalized in the ICU formore than 48 hours,then the uniform questionnaire tables were filled out and input to the computer for statisticalanalysis. RESULTS Among 505 cases of patients, the nosocomial infections occurred in 74 （93 case-times） caseswith the infection rate of 14. 65% （the case-time infection rate 18. 42%） , the average severity of the condition was3.74,and the daily infection rate was 3. 49%.after the adjustment with nosocomial infections. There were 20 case-times of patients with ventilator-associated pneumonia, 26 case-times of patients with catheter-related bloodstreaminfections, 22 cases-times of patients with catheter-related urinary tract infections’ and 25 cases with other site in-fections. The use of immunosuppressants or hormone？ coma, long-term bedridden, and chemoradiotherapy werethe risk factors significantly associated with the incidence of nosocomial infections. CONCLUSION Targeted moni-toring of nosocomial infection can acquire the risk factors and formulate effective intervention measures so as to re-duce the incidence of nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第17期4115-4116,共2页
Chinese Journal of Nosocomiology
基金
扬州大学医学院科研基金(yzucms0940)
关键词
医院感染
危险因素
随机对照
Nosocomial infection； Risk factor； Randomized controlledicu
作者简介
通讯作者：谢金兰，E-mail：13815836161@163．com
